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Individual

DR. SEAN D AVERILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM. D.

Contact information

Practice address
958 HAILEY LN, PUEBLO, CO 81007-4438
(719) 404-0081
(719) 404-0084
Mailing address
958 HAILEY LN, PUEBLO, CO 81007-4438
(719) 404-0081
(719) 404-0084

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18196
CO

Other

Enumeration date
11/26/2011
Last updated
11/26/2011
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