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Organization

HAWAIIAN JELLYS, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL JOSEPH GERSTENBERGER (CEO)
(303) 697-0223
Entity
Organization

Contact information

Practice address
5477 TIGER BEND LN, MORRISON, CO 80465-9679
(303) 697-0223
Mailing address
151 SUMMER ST UNIT 563, MORRISON, CO 80465-3420
(303) 697-0223

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
05/01/2018
Last updated
05/01/2018
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