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Individual

CHRISTIAN EASTLAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 365-2490
Mailing address
8007 COOPER RIVER DR, COLORADO SPRINGS, CO 80920-4206

Taxonomy

Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
APN.0994988-CNS
CO

Other

Enumeration date
01/15/2020
Last updated
01/15/2020
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