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1750622270
THERESE ANN IDA
DENVER, CO
NPI
1750622270
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: CO 505475)
Enumeration Date
2013-03-07
Last Update Date
2019-02-26
Business Address
THERESE ANN IDA R.D.
1400 JACKSON ST
DENVER, CO 80206
Phone number: 303-388-4461
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Mailing Address
THERESE ANN IDA R.D.
1400 JACKSON ST
DENVER, CO 80206-2762
Phone number: 303-388-4461
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