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1184203150
JACKIE HERRIN
PUEBLO, CO
NPI
1184203150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: CO PN.0045422)
Enumeration Date
2021-04-06
Last Update Date
2021-04-06
Business Address
JACKIE HERRIN LPN
275 W ABRIENDO AVE
PUEBLO, CO 81004-1870
Phone number: 719-621-1929
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Mailing Address
JACKIE HERRIN LPN
2611 EMILIA ST
PUEBLO, CO 81005-2816
Phone number:
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