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Individual

COREY D CHILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6660 DELMONICO DR # E215, COLORADO SPRINGS, CO 80919-1899
(719) 377-0421
Mailing address
7847 WYTHE DR, FOUNTAIN, CO 80817-1441
(719) 822-3833

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0021796
CO

Other

Enumeration date
04/16/2024
Last updated
04/16/2024
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