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Individual

JOLENE H MIRABELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
2500 S HAVANA ST, AURORA, CO 80014-1618
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.0004468
CO
363AS0400X
Surgical Physician Assistant
Primary
PA.0004468
CO

Other

Enumeration date
09/23/2015
Last updated
11/28/2022
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