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1659745164
JENNIFER LEA MEDINA
PUEBLO, CO
NPI
1659745164
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CO 2015001624)
Enumeration Date
2015-11-20
Last Update Date
2015-11-20
Business Address
JENNIFER LEA MEDINA NP
115 E RIVERWALK UNIT 200
PUEBLO, CO 81003-3308
Phone number: 719-543-8346
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Mailing Address
JENNIFER LEA MEDINA NP
PO BOX 7702
LOVELAND, CO 80537-0702
Phone number: 970-663-2742
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