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Individual

STACEY JEAN ALLDREDGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
10065 E HARVARD AVE, DENVER, CO 80231-5968
(970) 614-1492
Mailing address
134 BOUTWELL CT, LOVELAND, CO 80537-3312
(970) 430-0161

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
176197
CO

Other

Enumeration date
12/22/2009
Last updated
12/22/2009
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