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Organization

CLEMENTINE HEALTH AND WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEENAN GRIEGO (NP)
(719) 204-3429
Entity
Organization

Contact information

Practice address
225 E CHEYENNE MOUNTAIN BLVD STE 100, COLORADO SPRINGS, CO 80906-3700
(719) 204-3429
Mailing address
225 E CHEYENNE MOUNTAIN BLVD STE 100, COLORADO SPRINGS, CO 80906-3700

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
09/09/2024
Last updated
09/09/2024
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