Individual
RANDALL FLYNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MDIV
Contact information
Practice address
805 EAGLERIDGE BLVD, PUEBLO, CO 81008-2193
(719) 287-6282
Mailing address
805 EAGLERIDGE BLVD, PUEBLO, CO 81008-2193
(719) 287-6282
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
CO
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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