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Individual

DOLLY GEORGE MABEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
7155 E 38TH AVE, DENVER, CO 80207-1630
(303) 321-7526
(303) 861-0268
Mailing address
7155 E 38TH AVE, DENVER, CO 80207-1630
(303) 321-7526
(303) 861-0268

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
APN.0991318-NP
CO
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
UP004236G
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
85989215
CO
Enumeration date
04/14/2009
Last updated
11/03/2016
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