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Individual

MICHAEL VERNE GRIGSBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, RN

Contact information

Practice address
1290 S POTOMAC ST, AURORA, CO 80012-4524
(303) 745-1281
Mailing address
4002 W QUINN PL, DENVER, CO 80236-3523
(303) 324-2432

Taxonomy

Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
1619787
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
163WP0807X
NPI
CO
Enumeration date
03/02/2016
Last updated
03/02/2016
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