Provider First Line Business Practice Location Address:
1505 S FEDERAL BLVD
Provider Second Line Business Practice Location Address:
TAKE CARE CLINIC
Provider Business Practice Location Address City Name:
DENVER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80219-4722
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-936-0223
Provider Business Practice Location Address Fax Number:
303-936-0227
Provider Enumeration Date:
10/04/2006