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Individual

MARILYN GRIEBEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
33 N ELM ST, CORTEZ, CO 81321-3105
(970) 565-8556
(970) 564-1134
Mailing address
PO BOX 278, RICO, CO 81332-0278
(970) 967-7201

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
46456
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07464563
CO
Enumeration date
03/15/2006
Last updated
11/28/2011
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