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Individual

ELISE GRISET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPO

Contact information

Practice address
200 UNION BLVD STE 440, LAKEWOOD, CO 80228-1812
(720) 417-8698
Mailing address
200 UNION BLVD STE 440, LAKEWOOD, CO 80228-1812
(720) 417-8698

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CPO04294

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CPO04294
CPO CERTIFICATION
Enumeration date
10/04/2021
Last updated
02/09/2023
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