Individual
JARED S PURCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
1311 N MILDRED RD, CORTEZ, CO 81321-2231
(970) 564-2104
(970) 564-2134
Mailing address
1311 N MILDRED RD, CORTEZ, CO 81321-2231
(970) 564-2104
(970) 564-2134
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1062543
ND
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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