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Desirae Renee Vigil, AP
Specialist in Thornton, Colorado
NPI 1407580095

Desirae Renee Vigil is a Specialist based in Thornton, CO. Desirae Renee Vigil practices in Thornton, CO and has the professional credentials of AP. The NPI Number for Desirae Renee Vigil is 1407580095 and holds a License No. COZ720555 (Colorado).

The current practice location address for Desirae Renee Vigil is 12840 Holly St Unit 120, Thornton, CO and can be reached out via phone at 720-232-7135.

Location: 12840 Holly St Unit 120, Thornton, CO, 80602-8289
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407580095
Provider Name
Desirae Renee Vigil
Credential
AP
Provider Entity Type
Individual
Gender
Female
Address
12840 Holly St Unit 120, Thornton, CO, 80602-8289
Phone Number
720-232-7135
Fax Number
Provider Enumeration Date
07/11/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
COZ720555 01 CO DORA
institution
Provider Business Practice Location Address Details
Address
12840 Holly St Unit 120
City
Thornton
State
Colorado
Zip
80602-8289
Phone Number
720-232-7135
Fax Number
person
Provider Business Mailing Address Details
Address
12840 Holly St Unit 120
City
Thornton
State
Colorado
Zip
80602-8289
Phone Number
720-232-7135
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
COZ720555 (Colorado)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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