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1477002020
NATHAN GASPER
PUEBLO, CO
NPI
1477002020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: CO 0992377-NP)
Enumeration Date
2016-09-23
Last Update Date
2018-06-29
Business Address
NATHAN GASPER AGACNP
1919 W US HIGHWAY 50
PUEBLO, CO 81008
Phone number: 719-253-7102
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Mailing Address
NATHAN GASPER AGACNP
1338 PHAY AVE BLDG D
CANON CITY, CO 81212-2326
Phone number: 719-285-2646
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