Individual
MISS JULIE L MACCLUSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 MERCADO ST, SUITE 100, DURANGO, CO 81301-7306
(970) 385-7977
(970) 385-6727
Mailing address
1 MERCADO ST, SUITE 100, DURANGO, CO 81301-7306
(970) 385-7977
(970) 385-6727
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
111654
CO
Other
Enumeration date
08/14/2006
Last updated
01/09/2009
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