Individual
KERRY JO PAUMEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CERTIFIED OPTICIAN
Contact information
Practice address
48 E MAIN ST, CORTEZ, CO 81321-3209
(970) 565-1580
(970) 565-8203
Mailing address
48 E MAIN ST, CORTEZ, CO 81321-3209
(970) 565-1580
(970) 565-8203
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
152435
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08003899
—
CO
Enumeration date
09/20/2005
Last updated
07/09/2007
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