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1902147283
TAMMY GONZALES
PUEBLO, CO
NPI
1902147283
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: CO MT.0004628)
Enumeration Date
2013-03-11
Last Update Date
2013-03-11
Business Address
Mrs. TAMMY GONZALES CNMT
613 W GRANT AVE
PUEBLO, CO 81004-1442
Phone number: 719-821-1180
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Mailing Address
Mrs. TAMMY GONZALES CNMT
613 W GRANT AVE
PUEBLO, CO 81004-1442
Phone number: 719-821-1180
Copy
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