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Organization
DE LA VARA CHIROPRACTIC & SPORTS MEDICINE CLINIC, INC.
Active
Organization
DE LA VARA CHIROPRACTIC & SPORTS MEDICINE CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIA LYNN DE LA VARA DC (DOCTOR OF CHIROPRACTIC AND CERTIFIE)
(303) 763-8433
Entity
Organization
Contact information
Practice address
1880 S PIERCE ST, SUITE 14, LAKEWOOD, CO 80232-7191
(303) 763-8433
(303) 936-0705
Mailing address
1880 S PIERCE ST, SUITE 14, LAKEWOOD, CO 80232-7191
(303) 763-8433
(303) 936-0705
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
36136
CO
Other
Enumeration date
03/09/2007
Last updated
02/19/2009
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