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LESLIE BRUNA FNP-BC

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1629667472

Individual Registrant:
 LESLIE  BRUNA FNP-BC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
531 LEWIS AVE  LA JUNTA, CO 81050-1738 US
Tel: 719-384-8827  Fax: --

Contact information for business:
32640 COUNTY ROAD 33  LA JUNTA, CO 81050-9570 US
Tel: 719-468-8418  Fax: --

Registration Information:
NPI: 1629667472
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
COAPN.0995989-NP

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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