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Individual

SHANE BATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
825 N LOGAN ST # 301, DENVER, CO 80203-3114
(720) 224-4324
Mailing address
352 S LAFAYETTE ST APT 301, DENVER, CO 80209-2537
(720) 224-4324

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
08/23/2022
Last updated
08/23/2022
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