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1477157592
CANDICE LUSTY
COLORADO SPRINGS, CO
NPI
1477157592
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TX 315646)
Enumeration Date
2020-11-30
Last Update Date
2020-11-30
Business Address
CANDICE LUSTY
5360 N ACADEMY BLVD STE 290
COLORADO SPRINGS, CO 80918-4038
Phone number: 719-434-2061
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Mailing Address
CANDICE LUSTY
5360 N ACADEMY BLVD STE 290
COLORADO SPRINGS, CO 80918-4038
Phone number: 719-434-2061
Copy
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