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1083988091
MOIRA ANNETTE SERGEJEV
PUEBLO, CO
NPI
1083988091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CO 990341)
Enumeration Date
2012-03-08
Last Update Date
2012-03-08
Business Address
Mrs. MOIRA ANNETTE SERGEJEV FNP
1925 E ORMAN AVE SUITE 440
PUEBLO, CO 81004-3537
Phone number: 719-557-4744
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Mailing Address
Mrs. MOIRA ANNETTE SERGEJEV FNP
1925 E ORMAN AVE SUITE 440
PUEBLO, CO 81004-3537
Phone number: 719-557-4744
Copy
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