LORI VIRGINIA DEATHERAGE

PUEBLO, CO
NPI1548081235
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: CO  PN.0026443)
Enumeration Date2024-10-24
Last Update Date2024-10-24
Business Address
LORI VIRGINIA DEATHERAGE LPN
212 W 13TH ST
PUEBLO, CO 81003-3754
Phone number: 719-696-9027
Mailing Address
LORI VIRGINIA DEATHERAGE LPN
212 W 13TH ST
PUEBLO, CO 81003-3754
Phone number: 719-696-9027
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