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1457492746
BRENDA SUE TRACY
PUEBLO, CO
NPI
1457492746
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CO 171276)
Enumeration Date
2007-02-09
Last Update Date
2013-06-03
Business Address
-- BRENDA SUE TRACY RN
101 W 9TH ST PCCHD
PUEBLO, CO 81003-4103
Phone number: 719-583-4362
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Mailing Address
-- BRENDA SUE TRACY RN
783 N RAVENCLIFF DR
PUEBLO WEST, CO 81007-1378
Phone number: 719-289-8938
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