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1265615058
DIANNE M MAYBERRY
CASTLE ROCK, CO
NPI
1265615058
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: CO 44998)
Enumeration Date
2007-12-14
Last Update Date
2007-12-14
Business Address
-- DIANNE M MAYBERRY LPN
4279 MINERS CANDLE DR
CASTLE ROCK, CO 80109-3571
Phone number: 303-346-9569
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Mailing Address
-- DIANNE M MAYBERRY LPN
4279 MINERS CANDLE DR
CASTLE ROCK, CO 80109-3571
Phone number:
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