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Individual

HAILE OGBALIDET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1605 E. BRIDGE ST, BRIGHTON, CO 80601
(303) 659-9660
(303) 637-9022
Mailing address
14088 KAHLER PL, BROOMFIELD, CO 80023-4546
(303) 659-9660
(303) 637-9022

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16260
CO

Other

Enumeration date
12/23/2015
Last updated
12/23/2015
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