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Individual

VIRGINIA M MAYFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
301 S UNION BLVD, COLORADO SPRINGS, CO 80910-3123
(719) 578-3243
Mailing address
120 WORLEY RD, DIVIDE, CO 80814-8402
(719) 687-8564

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
55877
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08833265
CO
Enumeration date
02/27/2007
Last updated
07/08/2007
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