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Individual

MR. TONY O'CANA I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
B.A. SOCIOLOGY

Contact information

Practice address
1302 CHINOOK, SPANISH PEAKS MENTAL HEALTH CENTER, PUEBLO, CO 81003
(719) 545-2746
Mailing address
67 E BIRCH HILLS DR, PUEBLO WEST, CO 81007-5067
(719) 580-5158

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
05/12/2009
Last updated
05/12/2009
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