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MS. DIANNE CATHERINE KOSHAK RN

>> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1558752089

Individual Registrant:
MS. DIANNE CATHERINE KOSHAK RN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
925 6TH ST ROOM 101 DEL NORTE, CO 81132-9796 US
Tel: 719-657-3352  Fax: 719-657-2286

Contact information for business:
925 6TH ST ROOM 101 DEL NORTE, CO 81132-9796 US
Tel: 719-657-3352  Fax: 719-657-2286

Registration Information:
NPI: 1558752089
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163W00000XNursing Service Providers
Registered Nurse
CORN0171424

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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