| NPI Details | |
|---|---|
| NPI | 1477719102 |
| Gender | Female |
| Enumeration Date | 08/01/2008 |
| Last Updated | 08/01/2008 |
| Entity Type | Individual |
| Active | Over 9 years ago |
| Practice Location | |
|---|---|
| 1026 W ABRIENDO AVE PUEBLO CO, 81004-1128, US |
|
| Phone | (719) 562-3222 |
| Fax | (719) 545-4100 |
| Business Location | |
|---|---|
| 1302 CHINOOK LN PUEBLO CO, 81001-1851, US |
|
| Phone | (719) 562-3222 |
| Fax | (719) 545-4100 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 101YM0800X |
| License State | |
| License Number | |
| Remove 1477719102 NPI Number | |
According to our database, Sandra Lee Miklich NPI is 1477719102, taxonomy code is 101YM0800X Sandra Lee Miklich physically located at 1026 W Abriendo Ave, Pueblo CO, 81004-1128. NPI Number Sandra Lee Miklich has the Individual type.
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1477719102 NPI number is provided on an as is basis without warranty of any kind. 1477719102 is maintained by the National Plan & Provider Enumeration System. The contents of Sandra Lee Miklich are for informational purposes only.
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