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1891453395
LYDIA SPROUSE
AVON, CO
NPI
1891453395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CO APN.0997076-NP)
Enumeration Date
2021-12-01
Last Update Date
2023-10-11
Business Address
LYDIA SPROUSE NP
850 WEST BEAVER CREEK BLVD
AVON, CO 81620-9201
Phone number: 970-945-2840
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Mailing Address
LYDIA SPROUSE NP
325 PRICE LN # X1255
GYPSUM, CO 81637-5328
Phone number:
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