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Individual

MS. MARY C PAUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
225 S UNION BLVD, SECOND FLOOR, COLORADO SPRINGS, CO 80910-3184
(719) 632-5700
Mailing address
3205 N ACADEMY BLVD, SUITE 130, COLORADO SPRINGS, CO 80917-5101
(719) 632-5700
(719) 344-7837

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
94504
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
90081307
CO
01
COA101741
PTAN
CO
Enumeration date
01/24/2006
Last updated
04/04/2017
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