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Individual

IRENE HASTINGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
301 S UNION BLVD, COLORADO SPRINGS, CO 80910-3123
(719) 575-8447
Mailing address
7166 GRAND PRAIRIE DR, COLORADO SPRINGS, CO 80923
(719) 575-8447

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
172384
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
96629525
CO
Enumeration date
02/28/2007
Last updated
07/08/2007
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