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Individual

MEDEMDEMIA MERIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
808 S GENEVA ST, AURORA, CO 80247-1932
(720) 400-2828
(720) 216-1901
Mailing address
808 S GENEVA ST, AURORA, CO 80247-1932
(720) 400-2828
(720) 216-1901

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
B-10012
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
58722726
CO
Enumeration date
06/12/2015
Last updated
06/12/2015
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