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1962032003
SC TELEHEALTH CLINIC LLC
PUEBLO, CO
NPI
1962032003
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Entity Type
Organization
Authorized Contact
RENEE D FASANO
Owner Manager
719-582-7287
Organization Subpart ?
No
Primary Taxonomy
261QH0100X Clinic/Center, Health Services
Enumeration Date
2020-01-16
Last Update Date
2020-01-16
Business Address
SC TELEHEALTH CLINIC LLC
1013 CANDYTUFT BLVD
PUEBLO, CO 81001-1026
Phone number: 719-582-7287
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Mailing Address
SC TELEHEALTH CLINIC LLC
1013 CANDYTUFT BLVD
PUEBLO, CO 81001-1026
Phone number: 719-582-7287
Copy
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