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2460 W 26th Ave Suite 450c Denver CO 80211-5308 | |
(720) 663-9030 | |
Not Available |
Full Name | |
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Speciality | Counselor - Professional |
Location | 2460 W 26th Ave, Denver, Colorado |
Authorized Official Name and Position | Clinton Jeffrey Nunnally (OWNER) |
Authorized Official Contact | 7206639030 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2460 W 26th Ave Suite 450c Denver CO 80211-5308 Ph: (720) 663-9030 | 2460 W 26th Ave Suite 450c Denver CO 80211-5308 Ph: (720) 663-9030 |
NPI Number | 1093125395 |
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Provider Enumeration Date | 05/07/2014 |
Last Update Date | 05/07/2014 |
Identifier | Type | State | Issuer |
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1093125395 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | 5581 (Colorado) | Primary |
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