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Organization

SANCTUARY PEDIATRICS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA DONALDSON CPNP-PC (OWNER PROVIDER)
(206) 941-4058
Entity
Organization

Contact information

Practice address
11590 RIDGELINE DR STE 140, COLORADO SPRINGS, CO 80921-3969
(719) 726-0765
Mailing address
PO BOX 25, MONUMENT, CO 80132-0025
(206) 941-4058

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
09/24/2024
Last updated
07/16/2025
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