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1639861842
TASHA PROCK
GRAND JUNCTION, CO
NPI
1639861842
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CO apn.0998716-np)
Enumeration Date
2023-05-25
Last Update Date
2023-05-25
Business Address
TASHA PROCK NP
710 WELLINGTON AVE STE 20
GRAND JUNCTION, CO 81501-6100
Phone number: 970-298-6601
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Mailing Address
TASHA PROCK NP
688 PINYON DR
FRUITA, CO 81521-6402
Phone number: 970-623-6493
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