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Organization
PSYCH ON HEELS
Active
Organization
PSYCH ON HEELS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRIE GLASSMEYER (OWNER)
(970) 254-1686
Entity
Organization
Contact information
Practice address
551 KOKOPELLI BLVD, FRUITA, CO 81521-6305
(970) 254-1686
Mailing address
2754 COMPASS DR, SUITE 300, GRAND JUNCTION, CO 81506-8714
(970) 254-1686
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
173198
CO
Other
Enumeration date
06/04/2009
Last updated
06/04/2009
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