Individual
IAN MICHAEL JOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
911 CASTELLO AVE, FAIRPLAY, CO 80440-5094
(719) 836-2055
Mailing address
341 PANTHER CT, WOODLAND PARK, CO 80863-9031
(269) 932-8594
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
029078
CO
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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