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Individual

MR. ADNAN DANIEL SHAFEEQ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
10174 SAINT PAUL DR, THORNTON, CO 80229-2772
(316) 644-8934
Mailing address
10174 SAINT PAUL DR, THORNTON, CO 80229-2772
(316) 644-8934

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
20141362354
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20141362354
STATE OF COLORADO SEC. OF STATE
CO
Enumeration date
09/19/2014
Last updated
09/19/2014
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