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1871893362
AVAYETTA M. MONTGUE
PUEBLO, CO
NPI
1871893362
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: CO 12803)
Enumeration Date
2010-10-29
Last Update Date
2010-10-29
Business Address
Ms. AVAYETTA M. MONTGUE
1322 E 8TH ST
PUEBLO, CO 81001-3512
Phone number: 719-542-4801
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Mailing Address
Ms. AVAYETTA M. MONTGUE
1322 E 8TH ST
PUEBLO, CO 81001-3512
Phone number: 719-542-4801
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