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Individual

JENNIFER A CHURCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5555 E ARAPAHOE RD, LITTLETON, CO 80122-2312
(303) 850-2038
Mailing address
5640 E BURLINGTON DR, CASTLE ROCK, CO 80104-8704
(303) 317-3201

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
163902
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
008865
KAISER-COMMERCIAL NUMBER
Enumeration date
02/27/2007
Last updated
01/30/2008
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