Individual
JEANNETTE RAE BULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
2550 S PARKER RD, AURORA, CO 80014-1622
(303) 614-1493
Mailing address
2521 BEECH CT, GOLDEN, CO 80401-2235
(720) 987-9662
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
44727
CO
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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