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Individual

BREANN MARIE BEHLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
501 E HAMPDEN AVE, ENGLEWOOD, CO 80113-2702
(303) 788-6911
(303) 306-7753
Mailing address
PO BOX 173862, DENVER, CO 80217-3862
(303) 306-7783
(303) 306-7753

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2643
CO
363A00000X
Physician Assistant
Primary
PA.0002643
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
99555867
CO
Enumeration date
07/29/2008
Last updated
07/18/2015
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