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1942432760
AMY DEITEMEYER
PUEBLO, CO
NPI
1942432760
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CO 2814)
Enumeration Date
2009-08-12
Last Update Date
2014-12-08
Business Address
-- AMY DEITEMEYER PA-C
300 COLORADO AVE
PUEBLO, CO 81004-2006
Phone number: 719-543-8718
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Mailing Address
-- AMY DEITEMEYER PA-C
110 E ROUTT AVE
PUEBLO, CO 81004-2117
Phone number: 719-543-8718
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