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Marykay Jimenez
NPI 1609143312 · on the registry since 2011
Practice
- Address
- 617 W 29th St
Pueblo, CO 81008 - Phone
- (719) 545-9634
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-11-23
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