Individual
MRS. MIRANDA KAY BLINCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
260 S KIPLING ST, LAKEWOOD, CO 80226-1086
(303) 239-7138
Mailing address
260 S KIPLING ST, LAKEWOOD, CO 80226-1086
(303) 239-7138
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0205462
CO
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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