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Individual

BRIELLE ELAINE LARSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
2121 NORTH AVE, GRAND JUNCTION, CO 81501-6428
(970) 242-0731
Mailing address
423 OAKWOOD AVE, FRUITA, CO 81521-7439
(970) 210-3248

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1620379
CO

Other

Enumeration date
06/18/2013
Last updated
06/18/2013
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