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Individual

TEKETEL ATAMO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMACIST

Contact information

Practice address
3251 REVERE ST, AURORA, CO 80011-1856
(720) 381-3737
Mailing address
3251 REVERE ST, AURORA, CO 80011-1856
(720) 381-3737

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0023310
CO

Other

Enumeration date
09/14/2020
Last updated
09/14/2020
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