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Individual

ELIZABETH GLENN MAGOTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
4856 INNOVATION DR STE B, FORT COLLINS, CO 80525-5540
(970) 494-4200
Mailing address
2930 PIERCE ST, WHEAT RIDGE, CO 80214-8052
(970) 413-1031

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.0336586
CO

Other

Enumeration date
05/10/2021
Last updated
05/10/2021
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