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1710984307
JACKI L KIPE
PUEBLO, CO
NPI
1710984307
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: CO 170699)
Enumeration Date
2005-06-28
Last Update Date
2007-11-05
Business Address
-- JACKI L KIPE CRNA
400 W 16TH ST
PUEBLO, CO 81003-2745
Phone number: 719-543-7877
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Mailing Address
-- JACKI L KIPE CRNA
1218 N MAIN ST
PUEBLO, CO 81003-2828
Phone number: 719-543-7827
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