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Individual

MRS. DEANNE LESLEY CARLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
220 ELIZABETH ST, ELIZABETH, CO 80107-7562
(303) 646-0656
(303) 646-0678
Mailing address
220 S. ELIZABETH ST., ELIZABETH, CO 80107
(303) 646-0656
(303) 646-0678

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
03318516
OH
183500000X
Pharmacist
Primary
13344
CO

Other

Enumeration date
10/29/2010
Last updated
10/29/2010
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