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1346872199
AMANDA HALVERSON
FORT COLLINS, CO
NPI
1346872199
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Former Name
AMANDA BLACK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: CO 0995376)
Enumeration Date
2020-02-10
Last Update Date
2020-04-13
Business Address
AMANDA HALVERSON CRNA, DNAP
3702 AUTOMATION WAY STE 103
FORT COLLINS, CO 80525-5738
Phone number: 970-922-3622
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Mailing Address
AMANDA HALVERSON CRNA, DNAP
3702 AUTOMATION WAY STE 103
FORT COLLINS, CO 80525-5738
Phone number: 970-922-3622
Copy
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