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Individual

LOY SHERRI LIGHTFOOT

Active
Sole proprietor

Provider details

NPI number
Gender
F

Contact information

Practice address
1600 W 24TH ST, PUEBLO, CO 81003-1411
(719) 546-4742
Mailing address
1600 W 24TH ST, PUEBLO, CO 81003-1411
(719) 546-4742

Taxonomy

Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary

Other

Enumeration date
06/20/2006
Last updated
07/08/2007
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