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Individual

SHALLEY PARMENTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
281 SAWYER DR, DURANGO, CO 81303-3409
(970) 247-5702
(970) 247-9126
Mailing address
3514 EARL ST, DURANGO, CO 81301-4019
(970) 247-5702
(970) 247-9126

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
117380
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
99229358
CO
Enumeration date
04/03/2007
Last updated
07/08/2007
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