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Individual

BIRGITTE DARUM PEGUES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RNFA

Contact information

Practice address
106 OAKDALE DR, PALMER LAKE, CO 80133-1386
(719) 572-1004
(719) 572-1004
Mailing address
PO BOX 1386, PALMER LAKE, CO 80133-1386
(719) 572-1004
(719) 572-1004

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
121657
CO

Other

Enumeration date
03/05/2009
Last updated
03/05/2009
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