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Individual
TRUMON OTTO CRAFT IV
Active
Individual
TRUMON OTTO CRAFT IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, A-GNP
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN.0169891
CO
363LA2200X
Adult Health Nurse Practitioner
Primary
0995336-NP
CO
Other
Enumeration date
02/14/2019
Last updated
06/28/2023
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