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1245946599
KELLY WAYNE TABOR
COLORADO SPRINGS, CO
NPI
1245946599
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CO APN.0998433-NP)
Enumeration Date
2023-01-30
Last Update Date
2023-02-09
Business Address
KELLY WAYNE TABOR FNP-C
9904 CUB LAKE TRL
COLORADO SPRINGS, CO 80924-1202
Phone number: 609-680-1389
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Mailing Address
KELLY WAYNE TABOR FNP-C
9904 CUB LAKE TRL
COLORADO SPRINGS, CO 80924-1202
Phone number: 609-680-1389
Copy
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