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Individual

LINDA DIANE MAGGIORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2014 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4229
(970) 945-6614
(970) 947-0155
Mailing address
195 W 14TH, RIFLE, CO 81650-4700
(970) 625-5200
(970) 625-4804

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
40789
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
12836354
CO
Enumeration date
08/30/2010
Last updated
08/30/2010
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