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1861138356
JULIA L TIDSWELL
LAMAR, CO
NPI
1861138356
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CO APN00997442-NP)
Enumeration Date
2022-05-09
Last Update Date
2022-05-09
Business Address
JULIA L TIDSWELL NP
403 KENDALL DR
LAMAR, CO 81052-3953
Phone number: 719-691-3341
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Mailing Address
JULIA L TIDSWELL NP
401 KENDALL DR
LAMAR, CO 81052-3942
Phone number: 719-336-6767
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