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Individual

ANGELA MARIE MACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4455 E 12TH AVE, DENVER, CO 80220-2415
(303) 504-7745
Mailing address
4455 E 12TH AVE, DENVER, CO 80220-2415
(303) 504-7745

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
09/28/2021
Last updated
09/28/2021
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