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Dixie Grisham
Student in an Organized Health Care Education/Training Program in Colorado Springs, Colorado
NPI 1912510850

Dixie Grisham is a Student in an Organized Health Care Education/Training Program based in Seattle, CO. Dixie Grisham practices in Colorado Springs, CO. The NPI Number for Dixie Grisham is 1912510850 and holds a License No. (Colorado).

The current practice location address for Dixie Grisham is 1525 W Vermijo Ave, Colorado Springs, CO and can be reached out via phone at 801-425-7451.

Location: 1525 W Vermijo Ave, Colorado Springs, CO, 98105-6367
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912510850
Provider Name
Dixie Grisham
Credential
Provider Entity Type
Individual
Gender
Female
Address
1525 W Vermijo Ave, Colorado Springs, CO, 98105-6367
Phone Number
801-425-7451
Fax Number
Provider Enumeration Date
08/29/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2453-8564-6404 01 UT EMS-ID
institution
Provider Business Practice Location Address Details
Address
1525 W Vermijo Ave
City
Colorado Springs
State
Colorado
Zip
80904-4096
Phone Number
801-425-7451
Fax Number
person
Provider Business Mailing Address Details
Address
1525 W Vermijo Ave
City
Colorado Springs
State
Colorado
Zip
80904-4096
Phone Number
801-425-7451
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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