Individual
MARCY JO BRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2345 BENT WAY, LONGMONT, CO 80503-7614
(303) 338-3800
Mailing address
2345 BENT WAY, LONGMONT, CO 80503-7614
(303) 338-3800
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
68923
CO
Other
Enumeration date
03/19/2010
Last updated
03/19/2010
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