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Individual

MRS. MARIANNE AGNES BYRON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
301 S UNION BLVD, COLORADO SPRINGS, CO 80910-3123
(719) 578-3107
(719) 578-3192
Mailing address
223 E FONTANERO ST, COLORADO SPRINGS, CO 80907-7454
(719) 635-8692

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
88484
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07884844
CO
Enumeration date
04/18/2007
Last updated
07/08/2007
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