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1447425517
STACY LYNN HERRERA
PUEBLO, CO
NPI
1447425517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: CO 130777)
Enumeration Date
2008-04-29
Last Update Date
2008-05-05
Business Address
Mrs. STACY LYNN HERRERA RN
151 CENTRAL MAIN ST
PUEBLO, CO 81003-4212
Phone number: 719-583-4308
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Mailing Address
Mrs. STACY LYNN HERRERA RN
4611 SCARLET SAGE DR
PUEBLO, CO 81001-1019
Phone number: 719-566-8075
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