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Individual

PAULETTE R WORK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RNFA

Contact information

Practice address
6280 MOCCASIN PASS CT, COLORADO SPRINGS, CO 80919-4442
(719) 638-8844
(719) 638-8115
Mailing address
PO BOX 76510, COLORADO SPRINGS, CO 80970-6510
(719) 638-8844
(719) 638-8115

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
105563
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
105563
REGISTERED NURSE LICENSE
CO
Enumeration date
09/02/2009
Last updated
09/02/2009
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