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MARCIA POLYNICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.P.N.

Contact information

Practice address
8755 W 14TH AVE, LAKEWOOD, CO 80215-4863
(303) 202-2911
(303) 202-2912
Mailing address
3701 S BROADWAY, ENGLEWOOD, CO 80113-3611
(303) 761-1977
(303) 761-2728

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
40649
CO

Other

Enumeration date
02/08/2007
Last updated
07/08/2007
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