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GERALD CHUKWUDI AMALAHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5650 ARGONNE ST APT 3201, DENVER, CO 80249-8830
(405) 778-0712
Mailing address
6401 BROADWAY STE K, DENVER, CO 80221-2853
(405) 778-0712

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
844644336
CO
Enumeration date
09/20/2021
Last updated
09/27/2021
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