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Individual

TAYTIANA ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11892 MCCRUMB DR, NORTHGLENN, CO 80233-1231
(720) 253-4902
Mailing address
11892 MCCRUMB DR, NORTHGLENN, CO 80233-1231
(720) 253-4902

Taxonomy

Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
BACB515641
CO

Other

Enumeration date
09/23/2019
Last updated
09/23/2019
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