SUSAN WALLACE

FORT COLLINS, CO
NPI1841014784
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: CO  PN0023246)
Enumeration Date2024-11-07
Last Update Date2024-11-07
Business Address
SUSAN WALLACE LPN
2509 RESEARCH BLVD
FORT COLLINS, CO 80526-8108
Phone number: 970-405-2529
Mailing Address
SUSAN WALLACE LPN
2509 RESEARCH BLVD
FORT COLLINS, CO 80526-8108
Phone number: 970-224-1550
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