Provider First Line Business Practice Location Address:
PUEBLO CHEMICAL DEPOT OCCUPATIONAL HEALTH CLINIC
Provider Second Line Business Practice Location Address:
45825 HIGHWAY 96 EAST
Provider Business Practice Location Address City Name:
PUEBLO
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
81006-9330
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
719-549-4176
Provider Business Practice Location Address Fax Number:
719-549-4406
Provider Enumeration Date:
01/26/2006