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1366654204
KENNETH WAYNE FANCHI
LAFAYETTE, CO
NPI
1366654204
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CO RN-75816)
Enumeration Date
2007-05-04
Last Update Date
2007-11-07
Business Address
KENNETH WAYNE FANCHI RN
280 EXEMPLA CIR
LAFAYETTE, CO 80026-3370
Phone number: 720-536-6503
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Mailing Address
KENNETH WAYNE FANCHI RN
280 EXEMPLA CIR
LAFAYETTE, CO 80026-3370
Phone number:
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