SALLY MAGDALEN STARK

PETERSON AFB, CO
NPI1528040995
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LW0102X Nurse Practitioner Women's Health
(Licence: CO  57995)
Enumeration Date2005-11-18
Last Update Date2012-03-27
Business Address
MS. SALLY MAGDALEN STARK NP
110 W ENT AVE
PETERSON AFB, CO 80914-1595
Phone number: 719-556-0510
Mailing Address
MS. SALLY MAGDALEN STARK NP
110 W ENT AVENUE
PETERSON AFB, CO 80914-1595
Phone number: 719-556-0510
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