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Organization

WIZ QUIZ

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ALYSON FORBES (MEMBER MANAGER)
(303) 674-6824
Entity
Organization

Contact information

Practice address
200 4TH ST., FAIRPLAY, CO 80440
(303) 674-6824
(303) 674-6823
Mailing address
P. O. BOX 4058, EVERGREEN, CO 80437
(303) 674-6824
(303) 674-6823

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
05/24/2007
Last updated
08/22/2020
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