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1366786261
STACI COLOVOS
OGDEN, UT
NPI
1366786261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: UT 6527571-4405)
Enumeration Date
2012-11-15
Last Update Date
2012-11-15
Business Address
-- STACI COLOVOS ACNP
4401 HARRISON BLVD
OGDEN, UT 84403
Phone number: 801-627-2800
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Mailing Address
-- STACI COLOVOS ACNP
2421 WEST PRATT BLVD #304
CHICAGO, IL 60645
Phone number: 773-447-8819
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