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Individual

CRYSTAL SHORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5555 E ARAPAHOE RD, CENTENNIAL, CO 80122-2312
(303) 850-5826
Mailing address
5555 E ARAPAHOE RD, CENTENNIAL, CO 80122-2312

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
43043
CO

Other

Enumeration date
06/22/2007
Last updated
01/03/2022
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