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Individual

MS. EARLEEN N. WHITAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., C.M.T.

Contact information

Practice address
3110 S WADSWORTH BLVD, SUITE 308, LAKEWOOD, CO 80227-4805
(303) 986-9208
Mailing address
2625 S IRIS ST, LAKEWOOD, CO 80227-2857
(303) 986-9208

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Enumeration date
05/11/2007
Last updated
07/08/2007
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