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Individual

KARLA RAE RICHARDSON-TRUJILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
314 W 16TH ST, PUEBLO, CO 81003-2728
(719) 546-3511
Mailing address
27800 E US HIGHWAY 50, PUEBLO, CO 81006-9112
(719) 406-5309

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN.0169437
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0994361
CO

Other

Enumeration date
09/27/2018
Last updated
12/11/2018
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