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Individual

STEPHEN DOUGLAS BAYENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
7338 MEADOW VW, PARKER, CO 80134-5474
(303) 929-3456
Mailing address
7338 MEADOW VW, PARKER, CO 80134-5474
(303) 929-3456

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10465
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10465
PHARMACIST LICENSE
CO
Enumeration date
02/01/2013
Last updated
02/01/2013
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