Individual
COREY DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1302 CHINOOK LN, PUEBLO, CO 81001-1851
(719) 545-2746
Mailing address
41 MONTEBELLO RD STE 204, PUEBLO, CO 81001-1379
(719) 545-2746
(719) 545-4100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.0202761
CO
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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