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1720068505
PHYLLIS AUSTIN
COLORADO SPRINGS, CO
NPI
1720068505
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Former Name
PHYLLIS BUKALA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CO RNX163309)
Enumeration Date
2006-01-18
Last Update Date
2016-12-13
Business Address
Ms. PHYLLIS AUSTIN
4863 N. NEVADA AVENUE
COLORADO SPRINGS, CO 80918
Phone number: 719-255-8001
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Mailing Address
Ms. PHYLLIS AUSTIN
4863 N. NEVADA AVENUE
COLORADO SPRINGS, CO 80918
Phone number: 719-255-4419
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