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1760246706
GREGORY L CHARLESTON
PUEBLO, CO
NPI
1760246706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: CO APN.0996825-NP)
Enumeration Date
2024-02-09
Last Update Date
2024-02-09
Business Address
GREGORY L CHARLESTON AGACNP-BC
400 W 16TH ST
PUEBLO, CO 81003-2745
Phone number: 719-584-4020
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Mailing Address
GREGORY L CHARLESTON AGACNP-BC
2 TAMAR CT
PUEBLO, CO 81005-3510
Phone number: 719-369-7612
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