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1679309868
JEREMY JONATHON COUCH
PUEBLO, CO
NPI
1679309868
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CO Rn.1619017)
Enumeration Date
2024-09-12
Last Update Date
2024-09-12
Business Address
JEREMY JONATHON COUCH FNP-BC
110 E ROUTT AVE
PUEBLO, CO 81004-2117
Phone number: 719-584-8711
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Mailing Address
JEREMY JONATHON COUCH FNP-BC
110 E ROUTT AVE
PUEBLO, CO 81004-2117
Phone number: 719-584-8711
Copy
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