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1902376312
LATASHA DEANNE MYRIECKES
PUEBLO, CO
NPI
1902376312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CO APN0994336NP)
Enumeration Date
2018-11-28
Last Update Date
2018-11-28
Business Address
LATASHA DEANNE MYRIECKES APRN
4776 EAGLERIDGE CIR
PUEBLO, CO 81008-2189
Phone number: 719-553-1000
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Mailing Address
LATASHA DEANNE MYRIECKES APRN
1150 LORDS HILL DR
FOUNTAIN, CO 80817-6601
Phone number: 719-322-5460
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