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Individual

TASHA PROCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
710 WELLINGTON AVE STE 20, GRAND JUNCTION, CO 81501-6100
(970) 298-6601
Mailing address
688 PINYON DR, FRUITA, CO 81521-6402
(970) 623-6493

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0998716-NP
CO

Other

Enumeration date
05/25/2023
Last updated
05/25/2023
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