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1366770661
RENEE JOAN SPRAGUE
PUEBLO, CO
NPI
1366770661
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: CO 34696)
Enumeration Date
2009-11-24
Last Update Date
2009-11-24
Business Address
Mrs. RENEE JOAN SPRAGUE
3717 AZALEA ST
PUEBLO, CO 81005-3004
Phone number: 719-994-1674
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Mailing Address
Mrs. RENEE JOAN SPRAGUE
3717 AZALEA ST
PUEBLO, CO 81005-3004
Phone number: 719-994-1674
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