Individual
MRS. DEBORAH EILEEN SHOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
275 W HWY 50, CANON CITY, CO 81212
(719) 269-4078
Mailing address
7240 ASHLEY DR, COLORADO SPRINGS, CO 80922-1637
(719) 591-7116
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
99150
CO
Other
Enumeration date
06/27/2007
Last updated
07/08/2007
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