ANDREW BENJAMIN BASHAM

PUEBLO, CO
NPI1992276026
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: CO  NLC.0109281)
Enumeration Date2018-12-16
Last Update Date2018-12-16
Business Address
ANDREW BENJAMIN BASHAM NLC
1003 RUPPLE ST PUEBLO CO 81001 606
PUEBLO, CO 81001
Phone number: 719-371-6196
Mailing Address
ANDREW BENJAMIN BASHAM NLC
1003 RUPPLE ST PUEBLO CO 81001 606
PUEBLO, CO 81001
Phone number: 719-371-6196
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