LERA VIRGINIA MAIN

FORT COLLINS, CO
NPI1356553119
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: CO  19741)
Enumeration Date2007-05-04
Last Update Date2007-07-08
Business Address
-- LERA VIRGINIA MAIN LPN
600 SOUTH DRIVE
FORT COLLINS, CO 80521
Phone number: 970-491-1460
Mailing Address
-- LERA VIRGINIA MAIN LPN
1028 W OAK ST
FORT COLLINS, CO 80521-2409
Phone number:
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