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1861657280
LISA RAE MCCULLOUGH
COLORADO SPRINGS, CO
NPI
1861657280
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: CO 5336)
Enumeration Date
2008-07-24
Last Update Date
2008-07-24
Business Address
-- LISA RAE MCCULLOUGH NP
1400 E BOULDER ST
COLORADO SPRINGS, CO 80909-5533
Phone number: 719-447-8812
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Mailing Address
-- LISA RAE MCCULLOUGH NP
4722 N 24TH ST STE 150
PHOENIX, AZ 85016-4800
Phone number: 877-737-4546
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