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Individual

MRS. PATRICIA H HARDENBERGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CO39464
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
70574201
CO
Enumeration date
12/26/2006
Last updated
08/01/2007
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