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1598429698
MARLEYNA AUGUSTEINA ILLIG
WHEAT RIDGE, CO
NPI
1598429698
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: AZ 0009195)
Enumeration Date
2021-10-25
Last Update Date
2022-10-20
Business Address
MARLEYNA AUGUSTEINA ILLIG
4851 INDEPENDENCE ST
WHEAT RIDGE, CO 80033-6715
Phone number: 303-425-0300
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Mailing Address
MARLEYNA AUGUSTEINA ILLIG
4851 INDEPENDENCE ST
WHEAT RIDGE, CO 80033-6715
Phone number: 303-425-0300
Copy
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