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Individual

MARY BETH WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(720) 536-6644
Mailing address
280 EXEMPLA CIRCLE, LAFAYETTE, CO 80026-2203
(720) 536-6644
(720) 536-6630

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
58618
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
163W00000X
KAISER PERMANENTE
CO
Enumeration date
02/16/2007
Last updated
03/25/2008
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