Individual
MARY WIBBENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2045 FRANKLIN ST, DENVER, CO 80205-5437
(303) 764-4781
Mailing address
3800 W UNION AVE, DENVER, CO 80236-3633
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
11708
MN
Other
Enumeration date
05/22/2007
Last updated
04/09/2008
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