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1891914693
PRAIRIE MEDICAL CLINIC PLLC
PUEBLO, CO
NPI
1891914693
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Entity Type
Organization
Authorized Contact
BENJAMIN MARTINEZ
Physician
719-561-1291
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2007-04-24
Last Update Date
2020-08-22
Business Address
PRAIRIE MEDICAL CLINIC PLLC
1726 S PRAIRIE AVE
PUEBLO, CO 81005-2253
Phone number: 719-561-8660
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Mailing Address
PRAIRIE MEDICAL CLINIC PLLC
1726 S PRAIRIE AVE
PUEBLO, CO 81005-2253
Phone number: 719-561-8660
Copy
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