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Individual

KATHLEEN MARIE CLOSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4803 WARD RD, WHEAT RIDGE, CO 80033-1902
(303) 614-1493
Mailing address
7765 NEWTON ST, WESTMINSTER, CO 80030-4550
(303) 931-1098

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
44762
CO

Other

Enumeration date
05/19/2008
Last updated
05/19/2008
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