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Individual

MS. VICKI LYNN NIAZI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4102 PINION DR, U S A F ACADEMY, CO 80840-2502
(719) 333-5056
Mailing address
4116 PALO DURO AVE NE, ALBUQUERQUE, NM 87110-1098
(719) 964-2314

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
162562
CO

Other

Enumeration date
03/15/2007
Last updated
07/08/2007
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