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Renee Sprague

NPI 1366770661 · on the registry since 2009 · sole proprietor

Practice

Address
3717 Azalea St
Pueblo, CO 81005
Phone
(719) 994-1674

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-11-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado