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1043473267
MARY TERESA BAGSHAW
GRAND JUNCTION, CO
NPI
1043473267
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CO 73645)
Enumeration Date
2008-07-08
Last Update Date
2008-10-07
Business Address
-- MARY TERESA BAGSHAW FNP
2635 N 7TH ST
GRAND JUNCTION, CO 81501-8209
Phone number: 970-244-1977
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Mailing Address
-- MARY TERESA BAGSHAW FNP
DEPT 0861
DENVER, CO 80256-0001
Phone number: 866-898-7136
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