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1831954098
STEPHANIE TRACIE GREEN
COLORADO SPRINGS, CO
NPI
1831954098
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CO APN.0999562-NP)
Enumeration Date
2024-02-16
Last Update Date
2024-10-08
Business Address
STEPHANIE TRACIE GREEN NP
1720 JET STREAM DR STE 200
COLORADO SPRINGS, CO 80921-3938
Phone number: 719-635-3764
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Mailing Address
STEPHANIE TRACIE GREEN NP
11528 LOUVRE PT
PEYTON, CO 80831-8225
Phone number: 304-860-2012
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