Provider First Line Business Practice Location Address:
30 S NEVADA AVE
Provider Second Line Business Practice Location Address:
CITY EMPLOYEE CLINIC
Provider Business Practice Location Address City Name:
COLORADO SPRINGS
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80903-1802
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
719-385-5673
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/27/2006