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MRS. CONNIE LOU CONNOLLY R.N.

Ambulatory Care >> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1356526115

Individual Registrant:
MRS. CONNIE LOU CONNOLLY R.N.
Gender: F
Sole Proprietor

Location and contact information for practice:
162 GROVE ST STE J  BISHOP, CA 93514-2652 US
Tel: 760-873-6533  Fax: --

Contact information for business:
162 GROVE ST STE J  BISHOP, CA 93514-2652 US
Tel: 760-873-6533  Fax: --

Registration Information:
NPI: 1356526115
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N163WP2201XNursing Service Providers
Registered Nurse
Ambulatory Care
CO68232
Y163WC0400XNursing Service Providers
Registered Nurse
CA815310

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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