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Individual

GINA MARIE MORTELLARO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.AC, C.H. DIPL. OM

Contact information

Practice address
7114 W JEFFERSON AVE, SUITE 208, LAKEWOOD, CO 80235-2354
(303) 997-9414
(303) 593-4651
Mailing address
7114 W JEFFERSON AVE STE 208, LAKEWOOD, CO 80235-2356
(303) 997-9414
(303) 593-4651

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1371
CO

Other

Enumeration date
05/18/2009
Last updated
05/18/2009
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