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1992781660
CHARLES MARCIAL COUNCE
PUEBLO, CO
NPI
1992781660
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CO 28194)
Enumeration Date
2005-12-15
Last Update Date
2007-09-27
Business Address
Dr. CHARLES MARCIAL COUNCE D.O.
732 S LEGEND LN
PUEBLO, CO 81007-1793
Phone number: 719-547-7461
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Mailing Address
Dr. CHARLES MARCIAL COUNCE D.O.
732 S LEGEND LN
PUEBLO, CO 81007-1793
Phone number: 719-547-7461
Copy
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