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MRS. VIRGINIA JONES MARTIN BA, LPN, CLC

>> Licensed Practical Nurse >> Nursing Service Providers

Registrant NPI Number: 1013313790

Individual Registrant:
MRS. VIRGINIA JONES MARTIN BA, LPN, CLC
Gender: F
Sole Proprietor

Location and contact information for practice:
4393 GREEN MOUNTAIN DR  LIVERMORE, CO 80536-8762 US
Tel: 970-377-4293  Fax: --

Contact information for business:
4393 GREEN MOUNTAIN DR  LIVERMORE, CO 80536-8762 US
Tel: 970-377-4293  Fax: --

Registration Information:
NPI: 1013313790
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N164W00000XNursing Service Providers
Licensed Practical Nurse
CO21873
N174H00000X
Y174N00000X
MAALPP28107
N374J00000X

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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