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Individual

MRS. JOLINDA LOU BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
2751 WILDERNESS RD BLDG 9481, FT CARSON, CO 80913-4719
(719) 526-5142
(719) 526-2998
Mailing address
312 W 3RD ST, FLORENCE, CO 81226-1410
(719) 339-9596
(719) 526-2998

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.0043138
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PN.0043138
DORA
CO
Enumeration date
09/16/2021
Last updated
09/16/2021
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