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Individual

CHANELLE N PUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
15001 E OXFORD AVE, AURORA, CO 80014-4191
(303) 693-1550
Mailing address
5042 VICTOR WAY, DENVER, CO 80239-4357
(720) 394-3995

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
12/05/2016
Last updated
12/05/2016
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