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Individual

JAMES ROBERT HARKREADER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
1100 PATTERSON RD, GRAND JUNCTION, CO 81506-8219
(970) 298-2001
(970) 298-7042
Mailing address
1100 PATTERSON RD, PO BOX 62, GRAND JUNCTION, CO 81506-8219
(970) 298-2001
(970) 298-7042

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
71129
CO
363LX0106X
Occupational Health Nurse Practitioner
Primary
71129
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
500003970
RAILROAD
05
7711294
CO
05
T0109
UT
Enumeration date
05/26/2006
Last updated
04/04/2011
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