Provider Information for 1023450046
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KIRSTEN AREBALOS
Sex: Female
NPI: 1023450046
Last Updated: 2013-07-18
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1023450046 | ||||||||
| Enumeration Date | 2013-07-18 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 1208 MONTROSE, CO 81402-1208 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 605 MIAMI RD MONTROSE, CO 81401-4108 United States Phone: 970-497-8955 | Fax: | ||||||||
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