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Individual

GENEA CHASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
919 S DAWSON WAY, UNIT 1, AURORA, CO 80012-3897
(720) 863-4799
Mailing address
919 S DAWSON WAY, UNIT 1, AURORA, CO 80012-3897
(720) 863-4799

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2014-1426439
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1426439
CO
Enumeration date
08/04/2014
Last updated
12/06/2014
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