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Individual

MRS. MARY LYNN STECKLINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
2550 S PARKER RD, AURORA, CO 80014-1622
(303) 614-1400
Mailing address
2550 S PARKER RD, AURORA, CO 80014-1622
(303) 614-1400

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
164W00000X
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
942581590
DRIVERS LICENSE
CO
Enumeration date
09/25/2009
Last updated
09/25/2009
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