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Individual

JACY GANSZ-TORRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1301 E 7TH ST, PUEBLO, CO 81001-3508
(719) 543-8711
Mailing address
110 E ROUTT AVE, PUEBLO, CO 81004-2117
(719) 543-8711
(719) 543-0171

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
64130
NM
363LF0000X
Family Nurse Practitioner
Primary
APN.1000251-NP
CO

Other

Enumeration date
09/19/2024
Last updated
10/17/2024
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