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1013667880
KELLY JEAN DEVINE ARCH
LONGMONT, CO
NPI
1013667880
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Former Name
KELLY JEAN DEVINE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: CO 099743)
Enumeration Date
2022-03-25
Last Update Date
2022-03-31
Business Address
KELLY JEAN DEVINE ARCH CNM
1950 MOUNTAIN VIEW AVE
LONGMONT, CO 80501-3129
Phone number: 303-315-0400
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Mailing Address
KELLY JEAN DEVINE ARCH CNM
1130 W OAK ST
FORT COLLINS, CO 80521-2453
Phone number: 970-581-3591
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