Provider Information for 1821165945
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ANGELA KAYE QUINN
Sex: Female
NPI: 1821165945
Last Updated: 2017-01-05
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1821165945 | ||||||||
| Enumeration Date | 2006-11-30 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 568 GRAY CT LAKEWOOD, CO 80226-1853 United States Phone: 803-387-8277 | Fax: | ||||||||
| Primary Practice Address | 4851 INDEPENDENCE ST WHEAT RIDGE, CO 80033-6715 United States Phone: 303-425-0300 | Fax:303-432-5015 | ||||||||
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