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1992297873
DIANE LEVINE
LONGMONT, CO
NPI
1992297873
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: CO 0993365)
Enumeration Date
2018-06-05
Last Update Date
2018-06-05
Business Address
DIANE LEVINE WHNP-BC
1400 SPENCER ST
LONGMONT, CO 80501-2413
Phone number: 720-987-3406
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Mailing Address
DIANE LEVINE WHNP-BC
1400 SPENCER ST
LONGMONT, CO 80501-2413
Phone number: 720-987-3406
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