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Organization
LIVING PROOF LLC
Active
Organization
LIVING PROOF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA J HAYS PHD, FPMH-NP, RXN (SOLE OWNER-PSYCHIATRIC NP)
(303) 912-0932
Entity
Organization
Contact information
Practice address
309 SAN JUAN AVE, ALAMOSA, CO 81101-2534
(303) 912-0932
(719) 937-2053
Mailing address
304 SAN JUAN AVE, ALAMOSA, CO 81101-2552
(303) 912-0932
(719) 937-2053
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5376
CO
Other
Enumeration date
07/06/2017
Last updated
07/06/2017
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