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1508334277
SHAVONNE SIMONICH
LOVELAND, CO
NPI
1508334277
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CO 0994279)
Enumeration Date
2018-11-11
Last Update Date
2018-11-11
Business Address
SHAVONNE SIMONICH FNP
3810 GRANT AVE
LOVELAND, CO 80538-8412
Phone number: 970-221-9451
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Mailing Address
SHAVONNE SIMONICH FNP
2020 BROOKWOOD DR
FORT COLLINS, CO 80525-1211
Phone number: 970-219-4400
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