Individual
RD CLARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2754 COMPASS DR, STE 170, GRAND JUNCTION, CO 81506-8714
(970) 254-1686
Mailing address
1272 O RD, LOMA, CO 81524-9543
(970) 640-9850
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
90097
CO
Other
Enumeration date
03/12/2012
Last updated
07/19/2013
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