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Individual

CHRISTINE COUSINEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
GNP

Contact information

Practice address
1415 W CHEYENNE MOUNTAIN BLVD, COLORADO SPRINGS, CO 80906-6211
(719) 481-2825
(719) 481-2825
Mailing address
PO BOX 60545, COLORADO SPRINGS, CO 80960-0545
(719) 481-2825
(719) 481-2825

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
76935
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07769359
CO
Enumeration date
07/13/2006
Last updated
08/05/2014
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