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MARILYN WAUGH BOULDIN

>> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1952573859

Individual Registrant:
 MARILYN WAUGH BOULDIN 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
209 E 3RD ST  SALIDA, CO 81201-2614 US
Tel: 719-539-4510  Fax: 719-539-7197

Contact information for business:
209 E 3RD ST  SALIDA, CO 81201-2614 US
Tel: 719-539-4510  Fax: 719-539-7197

Registration Information:
NPI: 1952573859
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163W00000XNursing Service Providers
Registered Nurse
CO39316

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
04419099CO05




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