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ANGELIQUE CHAVEZ RN

>> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1306467717

Individual Registrant:
 ANGELIQUE  CHAVEZ RN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
711 BARNES AVE  LA JUNTA, CO 81050-2138 US
Tel: 719-384-5446  Fax: --

Contact information for business:
711 BARNES AVE  LA JUNTA, CO 81050-2138 US
Tel: 719-384-5446  Fax: --

Registration Information:
NPI: 1306467717
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163W00000XNursing Service Providers
Registered Nurse
CORN.0200411

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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