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1609321439
STACI L RUDDY
COLORADO SPRINGS, CO
NPI
1609321439
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Former Name
STACI L BLACK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CO APN.0992511-NP)
Enumeration Date
2016-08-22
Last Update Date
2016-08-22
Business Address
-- STACI L RUDDY FNP-C
9480 BRIAR VILLAGE PT STE 200
COLORADO SPRINGS, CO 80920-7923
Phone number: 719-278-3627
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Mailing Address
-- STACI L RUDDY FNP-C
9480 BRIAR VILLAGE PT STE 200
COLORADO SPRINGS, CO 80920-7923
Phone number:
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