Individual
KARYN DEVETTE MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5901 MAJESTIC ST, LONGMONT, CO 80504-6933
(970) 347-2120
Mailing address
2901 REDBURN DR, FORT COLLINS, CO 80525-9034
(970) 690-0189
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CO
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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