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1407871643
MARY S RICCELLI
PARKER, CO
NPI
1407871643
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Former Name
MARY S CARISTA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CO APN0004954)
Enumeration Date
2006-07-12
Last Update Date
2021-05-14
Business Address
MARY S RICCELLI NP
10290 S PROGRESS WAY STE 208
PARKER, CO 80134-9056
Phone number: 720-317-9460
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Mailing Address
MARY S RICCELLI NP
488 PAWLING AVE
TROY, NY 12180-5832
Phone number: 720-317-9460
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