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1174149066
STEPHANIE MICHELLE RIDDELL
CORTEZ, CO
NPI
1174149066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CO APN.0995511-NP)
Enumeration Date
2020-06-17
Last Update Date
2024-02-05
Business Address
STEPHANIE MICHELLE RIDDELL
2095 N DOLORES RD
CORTEZ, CO 81321-8924
Phone number: 970-564-8086
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Mailing Address
STEPHANIE MICHELLE RIDDELL
6405 S 3000 E STE 300
SALT LAKE CITY, UT 84121-6977
Phone number: 801-266-3113
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