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Individual

MRS. PERMELIA CATINA THOMAS JESSIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
301 N MAIN ST STE 115, PUEBLO, CO 81003-4509
(770) 875-6225
Mailing address
301 N MAIN ST STE 115, PUEBLO, CO 81003-4509
(770) 875-6225

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary

Other

Enumeration date
01/22/2024
Last updated
01/22/2024
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