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Individual

MS. SUSAN RENEE PHELPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.AC.

Contact information

Practice address
2099 HIGHWAY 50 WEST, SUITE 130 G, PUEBLO, CO 81008
(719) 252-2524
(719) 992-0700
Mailing address
2099 HIGHWAY 50 WEST, SUITE 130 G, PUEBLO, CO 81008
(719) 252-2524
(719) 992-0700

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1597
CO

Other

Enumeration date
12/08/2011
Last updated
12/08/2011
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