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Ida Gadison

NPI 1174112981 · on the registry since 2021 · sole proprietor

Practice

Address
20752 E 50th Pl
Denver, CO 80249
Phone
(720) 907-5783

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YA0400X
101YM0800X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-01-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado