Individual
BRYAN LIND BLEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2091 WILLOW LN, LAKEWOOD, CO 80215-1047
(303) 521-9085
Mailing address
2091 WILLOW LN, LAKEWOOD, CO 80215-1047
(303) 521-9085
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0112888
CO
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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