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Individual

STEPHANIE LYNN MOTHERSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
510 29 1/2 RD, GRAND JUNCTION, CO 81504-5383
(970) 254-1406
(970) 254-4118
Mailing address
PO BOX 20000, GRAND JUNCTION, CO 81502-5033

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
198785
CO

Other

Enumeration date
05/20/2011
Last updated
05/20/2011
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