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Doctors / CO
NURSE PRACTITIONER
Graduated: 2013
NPI: 1033545009
POUDRE VALLEY MEDICAL GROUP LLC
1400 E BOULDER ST, SUITE 500 EAR NOSE AND THROAT CLINIC MEM HOSP
COLORADO SPRINGS, CO 809095533
7193644120
Source: CMS National Downloadable File, September 2026.