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Individual

JOHN CARRERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
41 MONTEBELLO RD, SUITE 100, PUEBLO, CO 81001-1379
(719) 545-2746
(719) 542-0401
Mailing address
41 MONTEBELLO RD, SUITE 200, PUEBLO, CO 81001-1379
(719) 545-2746
(719) 542-9638

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
11/20/2014
Last updated
02/13/2017
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