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Individual

SUSAN MELINDA HAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
151 CENTRAL MAIN ST, PUEBLO, CO 81003-4212
(719) 583-4367
(719) 583-9902
Mailing address
2611 7TH AVE, PUEBLO, CO 81003-1730
(719) 542-2616
(719) 583-9902

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
96503
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
49986015
CO
Enumeration date
01/24/2007
Last updated
07/08/2007
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