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Individual

JULIE MANKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
495 S FEDERAL BLVD, DENVER, CO 80219-2940
(303) 937-7511
Mailing address
5361 WINDFLOWER LN, HIGHLANDS RANCH, CO 80130-8936
(303) 668-8656

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8640
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
45583048
CO
Enumeration date
04/26/2007
Last updated
07/09/2007
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