Individual
PAUL ED SEDILLO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.P.R.P.
Contact information
Practice address
711 BARNES AVE, LA JUNTA, CO 81050-2138
(719) 384-5446
(719) 384-5672
Mailing address
711 BARNES AVE, LA JUNTA, CO 81050-3018
(719) 384-5446
(719) 384-5672
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
169878
CPRP
CO
Enumeration date
03/07/2007
Last updated
01/31/2013
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