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1346469061
CAROL DAUGHERTY
PUEBLO, CO
NPI
1346469061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CO 615134)
Enumeration Date
2007-04-24
Last Update Date
2007-07-08
Business Address
CAROL DAUGHERTY NP
1726 S PRAIRIE AVE
PUEBLO, CO 81005-2253
Phone number: 719-561-1291
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Mailing Address
CAROL DAUGHERTY NP
1726 S PRAIRIE AVE
PUEBLO, CO 81005-2253
Phone number: 719-561-1291
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