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1669509030
MELISSA LANZA BLACK
COLORADO SPRINGS, CO
NPI
1669509030
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CO 99418)
Enumeration Date
2007-02-27
Last Update Date
2007-07-08
Business Address
-- MELISSA LANZA BLACK RN
301 S UNION BLVD
COLORADO SPRINGS, CO 80910-3123
Phone number: 719-578-3249
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Mailing Address
-- MELISSA LANZA BLACK RN
27 MINNEHAHA AVE
MANITOU SPRINGS, CO 80829-1657
Phone number: 719-578-3249
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