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1356553119
LERA VIRGINIA MAIN
FORT COLLINS, CO
NPI
1356553119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CO 19741)
Enumeration Date
2007-05-04
Last Update Date
2007-07-08
Business Address
-- LERA VIRGINIA MAIN LPN
600 SOUTH DRIVE
FORT COLLINS, CO 80521
Phone number: 970-491-1460
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Mailing Address
-- LERA VIRGINIA MAIN LPN
1028 W OAK ST
FORT COLLINS, CO 80521-2409
Phone number:
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