Individual
CHAGOLL BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9736 WANDO DR, COLORADO SPRINGS, CO 80925-8447
(469) 316-4172
Mailing address
9736 WANDO DR, COLORADO SPRINGS, CO 80925-8447
(469) 316-4172
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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