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1487959177
KATRINA DENESE BRISTOL
LAFAYETTE, CO
NPI
1487959177
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: CO 63272)
Enumeration Date
2011-01-11
Last Update Date
2011-01-14
Business Address
-- KATRINA DENESE BRISTOL
200 EXEMPLA CIR
LAFAYETTE, CO 80026-3370
Phone number: 303-689-4740
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Mailing Address
-- KATRINA DENESE BRISTOL
6537 VESUVIUS RD
EVERGREEN, CO 80439-5307
Phone number: 303-670-0731
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