Organization
AFFORDABLE HEALTH CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWN LESLIE EVERT NP-C (OWNER)
(719) 924-9021
Entity
Organization
Contact information
Practice address
900 INDIANA AVE ST D, PUEBLO, CO 81004-8100
(719) 924-9021
(719) 924-9166
Mailing address
900 INDIANA AVE ST D, PUEBLO, CO 81004-7503
(719) 924-9021
(719) 924-9166
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
81123
CO
Other
Enumeration date
01/30/2013
Last updated
10/06/2020
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