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Organization

US ARMY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLI JANE MATTHEWS (PUBLIC HEALTH NURSE)
(719) 526-3206
Entity
Organization

Contact information

Practice address
6582 MAGARATH STREET, FORT CARSON, CO 80913
(719) 526-3206
Mailing address
6582 MAGRATH AVE, FORT CARSON, CO 80913-4277
(719) 526-3206

Taxonomy

Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
4704192378
MI

Other

Enumeration date
10/31/2011
Last updated
10/31/2011
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