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Individual
TERRI EILENE LIGHT
Active
Individual
TERRI EILENE LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
61699
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
840472982
—
CO
Enumeration date
08/10/2011
Last updated
08/10/2011
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