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Individual

MRS. SUSAN E. HARTLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
732 ROMA VALLEY DR, FORT COLLINS, CO 80525-6745
(970) 377-1911
Mailing address
732 ROMA VALLEY DR, FORT COLLINS, CO 80525-6745
(970) 377-1911

Taxonomy

Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
Primary
140641
CO

Other

Enumeration date
06/18/2008
Last updated
06/18/2008
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