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1801297478
TERESA KOPPIN
PUEBLO, CO
NPI
1801297478
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Entity Type
Organization
Authorized Contact
TERESA A KOPPIN
Owner
719-251-5222
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: CO 0011162)
Enumeration Date
2014-09-15
Last Update Date
2014-09-15
Business Address
TERESA KOPPIN
421 N MAIN ST STE 301
PUEBLO, CO 81003-3187
Phone number: 719-251-5222
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Mailing Address
TERESA KOPPIN
421 N MAIN ST STE 301
PUEBLO, CO 81003-3187
Phone number: 719-251-5222
Copy
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