LORI PTAK

DIVIDE, CO
NPI1508372152
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: CO  RN.1641286)
Enumeration Date2017-12-19
Last Update Date2018-03-17
Business Address
LORI PTAK
11115 W HIGHWAY 24 UNIT 2C
DIVIDE, CO 80814
Phone number: 719-687-6416
Mailing Address
LORI PTAK
11115 W. HIGHWAY 24 UNIT 2C
DIVIDE, CO 80814
Phone number: 719-687-6416
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