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Individual

MS. THERESA MARIE CHASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ND, RN

Contact information

Practice address
3425 S CLARKSON ST, ENGLEWOOD, CO 80113-2811
(303) 789-8211
Mailing address
2299 GRANDE CACHE CT, GRAND JUNCTION, CO 81507-2201
(303) 941-1989

Taxonomy

Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
0106761
CO

Other

Enumeration date
07/09/2014
Last updated
07/09/2014
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