Provider Information for 1821008475
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GREGORY L SIMS LPC
Sex: Male
NPI: 1821008475
Last Updated: 2016-10-30
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1821008475 | ||||||||
| Enumeration Date | 2006-08-08 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 7379 PUEBLO, CO 81007-0379 United States Phone: 719-647-9930 | Fax:719-297-4619 | ||||||||
| Primary Practice Address | 19 E ABARR DR PUEBLO, CO 81007-5436 United States Phone: 719-647-9930 | Fax:719-297-4619 | ||||||||
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