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1215210471
AMY M BANASZAK
COLORADO SPRINGS, CO
NPI
1215210471
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Former Name
AMY M JOHNSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CO NP-990213)
Enumeration Date
2011-09-23
Last Update Date
2013-11-07
Business Address
Mrs. AMY M BANASZAK FNP
325 E FONTANERO ST
COLORADO SPRINGS, CO 80907
Phone number: 719-636-3829
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Mailing Address
Mrs. AMY M BANASZAK FNP
325 E FONTANERO ST
COLORADO SPRINGS, CO 80907
Phone number: 719-636-3829
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