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Individual

CASSANDRA L WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(720) 536-7513
Mailing address
1245 ABERDEEN DR, BROOMFIELD, CO 80020-2409
(303) 438-5837

Taxonomy

Speciality
Code
Description
License number
State
163WI0600X
Infection Control Registered Nurse
Primary
65150
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
013660
KAISER-COMMERCIAL NUMBER
Enumeration date
02/27/2007
Last updated
07/08/2007
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