Individual
OLIVIA DUJUAN RABAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 365-1292
Mailing address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 365-1292
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101021400
MI
207R00000X
Internal Medicine Physician
Primary
DR.0058262
CO
Other
Enumeration date
06/26/2014
Last updated
07/21/2022
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