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Individual

MRS. SANDRA WYNEE JEFFERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.D.

Contact information

Practice address
275 SOUTH ASPEN STREET STOP 89, BUCKLEY AFB, CO 80011-9547
(720) 847-6485
(720) 847-6494
Mailing address
275 S ASPEN ST STOP 89, AURORA, CO 80011-9562
(720) 847-6585
(720) 847-6494

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
713252
CA

Other

Enumeration date
10/09/2008
Last updated
10/09/2008
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