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1316695059
DIANA SUE PACHECO
PUEBLO, CO
NPI
1316695059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CO APN.0997423-NP)
Enumeration Date
2022-03-11
Last Update Date
2022-03-11
Business Address
DIANA SUE PACHECO
400 W 16TH ST
PUEBLO, CO 81003-2781
Phone number: 719-595-7705
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Mailing Address
DIANA SUE PACHECO
2216 LONGHORN DR
PUEBLO, CO 81008-1899
Phone number: 719-251-9787
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