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Individual

JAIME THWAYTES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2460 W 26TH AVE STE 420C, DENVER, CO 80211-5363
(303) 698-0333
Mailing address
3855 PERRY ST, DENVER, CO 80212-2146
(323) 710-2033

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
APN.0996557-NP
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
APN.0996557-NP
CO
Enumeration date
07/28/2021
Last updated
07/28/2021
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