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Individual

SHANNON GWASH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
12055 W 2ND PL, LAKEWOOD, CO 80228-1506
(303) 432-5659
Mailing address
12055 WEST 2ND PLACE, LAKEWOOD, CO 80228

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
09/14/2016
Last updated
09/14/2016
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