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Individual

MISS ANNIE MICHELE FAGUNDES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
559 VINCENT ST SPC BASE, COLORADO SPRINGS, CO 80914-1541
(719) 556-2322
Mailing address
559 VINCENT ST SPC BASE, COLORADO SPRINGS, CO 80914-1541

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95002607
CA

Other

Enumeration date
07/04/2015
Last updated
09/18/2023
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