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Individual

OLIXN LEE ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
23400 US HIGHWAY 160, WALSENBURG, CO 81089
(719) 738-4590
(719) 738-4553
Mailing address
23400 US HIGHWAY 160, WALSENBURG, CO 81089
(719) 738-4590
(719) 738-4553

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
48070
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
48070
CO LICENSE
CO
Enumeration date
06/16/2008
Last updated
09/12/2012
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