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Individual

JEANNIE JO MUELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C, RD, CDE

Contact information

Practice address
1010 RIO GRANDE AVE, MONTROSE, CO 81401-4831
(970) 497-3333
(855) 299-7837
Mailing address
PO BOX 529, OLATHE, CO 81425-0529
(970) 323-6141
(970) 323-6117

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
18408745
CO
01
P01316438
RAILROAD WORKERS MEDICARE / OLATHE COMM CLINIC DBA RIVER VALLEY FAMILY HEALTH
Enumeration date
09/12/2007
Last updated
04/26/2023
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