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MCKEEG RUSSELL CNA

>> Nurse's Aide >> Nursing Service Related Providers

Registrant NPI Number: 1306417399

Individual Registrant:
 MCKEEG  RUSSELL CNA
Gender: M
Sole Proprietor

Location and contact information for practice:
26045 WOODARD AVE  MOFFAT, CO 81143-9782 US
Tel: 719-221-6224  Fax: --

Contact information for business:
26045 WOODARD AVE  MOFFAT, CO 81143-9782 US
Tel: 719-221-6224  Fax: --

Registration Information:
NPI: 1306417399
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y376K00000XNursing Service Related Providers
Nurse's Aide
COTNA00003041

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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