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1740908151
STEPHANIE MARIE DEAVILA
COLORADO SPRINGS, CO
NPI
1740908151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CO APN.0997580-NP)
Enumeration Date
2022-08-22
Last Update Date
2022-08-24
Business Address
STEPHANIE MARIE DEAVILA APRN
2875 INTERNATIONAL CIR
COLORADO SPRINGS, CO 80910-3144
Phone number: 719-389-0070
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Mailing Address
STEPHANIE MARIE DEAVILA APRN
2875 INTERNATIONAL CIR
COLORADO SPRINGS, CO 80910-3144
Phone number: 719-389-0070
Copy
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