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1245513407
KELLY VATERS
PUEBLO, CO
NPI
1245513407
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TN LPN0000066722)
Enumeration Date
2011-09-23
Last Update Date
2011-09-23
Business Address
-- KELLY VATERS
1026 W ABRIENDO AVE
PUEBLO, CO 81004-1128
Phone number: 719-545-2746
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Mailing Address
-- KELLY VATERS
1304 CHINOOK LN
PUEBLO, CO 81001-1851
Phone number: 719-545-2746
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