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1013113828
DEBORAH EILEEN SHOCK
CANON CITY, CO
NPI
1013113828
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: CO 99150)
Enumeration Date
2007-06-27
Last Update Date
2007-07-08
Business Address
Mrs. DEBORAH EILEEN SHOCK ANP-C
275 W HWY 50
CANON CITY, CO 81212
Phone number: 719-269-4078
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Mailing Address
Mrs. DEBORAH EILEEN SHOCK ANP-C
7240 ASHLEY DR
COLORADO SPRINGS, CO 80922-1637
Phone number: 719-591-7116
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