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Individual

DEANIE J SPURLOCK-GEBHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4803 WARD RD, WHEAT RIDGE, CO 80033-1902
(303) 421-5053
Mailing address
9603 E 150TH AVE, BRIGHTON, CO 80602-5648
(303) 637-0088

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
23674
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004584
KAISER-COMMERCIAL NUMBER
Enumeration date
02/16/2007
Last updated
03/17/2008
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