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Dr. Judy Vangheluwe

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NPI Number Detailed Information

Provider Information:

Name: Dr. Judy Vangheluwe
Gender: F
Provider License Number If Given: 6343

NPI Information:

NPI: 1962401414
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/18/2005

Last Update Date: 7/8/2007

Provider Business Mailing Address:

Address: PO BOX 45
Ridgway, CO 81432
Phone Number: 9706263774
Fax Number:

Provider Business Practice Location Address:

Address: 156 LIDDELL DRIVE
Ridgway, CO 81432
Phone Number: 9706263774
Fax Number:

Provider Taxonomy:

Primary: 1223E0200X
Secondary (if any):
State: CO

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