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Individual

RUDY HABERZETTL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSPT

Contact information

Practice address
1855 TELSTAR DR, COLORADO SPRINGS, CO 80920-1005
(719) 310-1741
Mailing address
6965 AMBER RIDGE DR, COLORADO SPRINGS, CO 80922-2419

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6876
CO

Other

Enumeration date
05/16/2007
Last updated
07/08/2007
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