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Individual

CRICKET MELODY SONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
4546 BELLA DR, COLORADO SPRINGS, CO 80918-7200
(719) 650-4002
(719) 265-1752
Mailing address
4546 BELLA DR, COLORADO SPRINGS, CO 80918-7200
(719) 650-4002
(719) 265-1752

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MT 0014066
CO

Other

Enumeration date
03/31/2015
Last updated
03/31/2015
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