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Individual

JASMIN D DENEAULT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1801 16TH ST, GREELEY, CO 80631-5154
(970) 810-4475
Mailing address
2045 FRANKLIN ST, DENVER, CO 80205-5437
(303) 338-4545

Taxonomy

Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
30138
CO
207RG0100X
Gastroenterology Physician
Primary
30138
CO
207RG0100X
Gastroenterology Physician
TP583
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
005857
KAISER-COMMERCIAL NUMBER
05
01301381
CO
Enumeration date
04/19/2007
Last updated
09/17/2019
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