Individual
MIRANDA LOUISE CLINGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2045 N FRANKLIN ST, DENVER, CO 80205-5437
(303) 764-5688
Mailing address
2240 E 103RD PL, THORNTON, CO 80229-2339
(303) 667-1628
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0198888
CO
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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