Organization
GOLIGHTLY FOOTWEAR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY LIEVERS (OWNER)
(719) 545-5539
Entity
Organization
Contact information
Practice address
222 N MAIN ST, PUEBLO, CO 81003-3235
(719) 545-5539
Mailing address
222 N MAIN ST, PUEBLO, CO 81003-3235
(719) 545-5539
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
CO
Other
Enumeration date
02/08/2008
Last updated
02/08/2008
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