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Individual

CAROL LYNN WORRALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
225 N PINE ST, SUITE E, GUNNISON, CO 81230-2648
(970) 641-0209
(970) 641-8346
Mailing address
225 N PINE ST, SUITE E, GUNNISON, CO 81230-2648
(970) 641-0209
(970) 641-8346

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
122880
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43301576
CO
Enumeration date
01/08/2007
Last updated
07/08/2007
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