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1558482125
SUSAN GABRIELLE DERN
COLORADO SPRINGS, CO
NPI
1558482125
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CO 29573)
Enumeration Date
2007-04-02
Last Update Date
2016-07-28
Business Address
Dr. SUSAN GABRIELLE DERN DO
2502 E PIKES PEAK AVE
COLORADO SPRINGS, CO 80909-6033
Phone number: 719-365-6840
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Mailing Address
Dr. SUSAN GABRIELLE DERN DO
2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND, CO 80538-9071
Phone number: 970-624-4036
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