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1285710467
DEREK A CHISHOLM
COLORADO SPRINGS, CO
NPI
1285710467
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: CO 31420)
Enumeration Date
2006-10-31
Last Update Date
2007-07-08
Business Address
DEREK A CHISHOLM LPN
875 W MORENO AVE
COLORADO SPRINGS, CO 80905-1731
Phone number: 719-572-6200
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Mailing Address
DEREK A CHISHOLM LPN
5045 CLIFF POINT CIR E
COLORADO SPRINGS, CO 80919-8108
Phone number: 719-260-7939
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