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Organization

SPINAL CORD INJURY RECOVERY PROJECT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AMANDA NICHOLE WILSON (EXECUTIVE DIRECTOR)
(303) 286-0918
Entity
Organization

Contact information

Practice address
866 E 78TH AVE, DENVER, CO 80229-5934
(303) 286-0918
Mailing address
866 E 78TH AVE, DENVER, CO 80229-5934

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
47329
CO

Other

Enumeration date
09/09/2013
Last updated
09/09/2013
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