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Brandt Joseph Vansickle

Case Manager/Care Coordinator in Lakewood, CO. Individual provider (NPI-1).

NPI number1497952097
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1497952097
Entity type
Individual (NPI-1)
Name
Mr. Brandt Joseph Vansickle
Sex
Male
Sole proprietor
No
Enumeration date
Jun 28, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

1370 Ames St
Lakewood, CO 80214-2218

Phone 720-934-5605

Mailing address

1370 Ames St
Lakewood, CO 80214-2218

Phone 720-934-5605

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