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1396225611
LAURA VICKERMAN
GREELEY, CO
NPI
1396225611
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LC0200X Nurse Practitioner, Critical Care Medicine
(Licence: WY 49802)
Enumeration Date
2018-08-16
Last Update Date
2022-05-09
Business Address
LAURA VICKERMAN
1555 N 17TH AVE
GREELEY, CO 80631-9117
Phone number: 970-304-6420
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Mailing Address
LAURA VICKERMAN
2266 76TH AVENUE CT
GREELEY, CO 80634-7405
Phone number: 719-323-7634
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