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Individual

MRS. DAYANA OLIVARES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1960 N OGDEN ST STE 690, DENVER, CO 80218-3673
(602) 882-1512
Mailing address
1960 N OGDEN ST STE 690, DENVER, CO 80218-3673

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
C05425
MD
363AS0400X
Surgical Physician Assistant
Primary
PA.0005355
CO

Other

Enumeration date
06/26/2014
Last updated
07/30/2019
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