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Individual

ELVIRA GARRUCHO COOLEY

Active
Sole proprietor

Provider details

NPI number
Gender
F

Contact information

Practice address
EVANS ARMY COMMUNITY HOSPITAL(EACH) USA MEDDAC, BLDG 7600,1650COCHRANE CIRCLE,ICU, FORT CARSON, CO 80913-4604
(719) 526-7020
Mailing address
EVANS ARMY COMMUNITY HOSPITAL(EACH)USA MEDDAC, BLDG 7600,1650 COCHRANE CIRCLE,ATTN: CREDENTIALS OFFICE, FT CARSON, CO 80913-4604
(719) 526-7844
(719) 526-7984

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
92183
CO

Other

Enumeration date
05/23/2006
Last updated
07/08/2007
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