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Individual

NATHANIEL HASBROUCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-4000
Mailing address
PO BOX 38934, COLORADO SPRINGS, CO 80937-8934

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C-APN.0000950-C-CRNA
CO

Other

Enumeration date
01/29/2018
Last updated
01/29/2018
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