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1831616689
BRENDON MADRID
PUEBLO, CO
NPI
1831616689
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CO 000000000)
Enumeration Date
2017-08-23
Last Update Date
2017-08-23
Business Address
BRENDON MADRID NP
4112 OUTLOOK BLVD STE 325
PUEBLO, CO 81008-1667
Phone number: 719-562-6300
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Mailing Address
BRENDON MADRID NP
4112 OUTLOOK BLVD STE 325
PUEBLO, CO 81008-1667
Phone number: 719-562-6300
Copy
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