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Organization
PRN PRO, PC
Active
Organization
PRN PRO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE POPELAR (CONTROLLER)
(719) 622-7440
Entity
Organization
Contact information
Practice address
13 S TEJON ST STE 501, COLORADO SPRINGS, CO 80903-1530
(719) 622-7440
Mailing address
13 S TEJON ST STE 501, COLORADO SPRINGS, CO 80903-1530
(719) 622-7440
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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