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Individual

KEVIN JESSUP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1355 S COLORADO BLVD, DENVER, CO 80222-3305
(303) 756-9062
Mailing address
410 E KENTUCKY AVE, DENVER, CO 80209-4124
(719) 659-2915

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CO

Other

Enumeration date
06/07/2020
Last updated
06/07/2020
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