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1881259224
RENAE LYNN WISE
COLORADO SPRINGS, CO
NPI
1881259224
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CO C-APN.0001492-C-NP)
Enumeration Date
2019-05-01
Last Update Date
2019-05-01
Business Address
RENAE LYNN WISE PMHNP-BC
630 SOUTHPOINTE CT
COLORADO SPRINGS, CO 80906-3896
Phone number: 719-289-3173
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Mailing Address
RENAE LYNN WISE PMHNP-BC
630 SOUTHPOINTE CT
COLORADO SPRINGS, CO 80906-3896
Phone number: 719-289-3173
Copy
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