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MRS. SANDRA WYNEE JEFFERSON R.D.

>> Dietitian, Registered >> Dietary & Nutritional Service Providers

Registrant NPI Number: 1366693277

Individual Registrant:
MRS. SANDRA WYNEE JEFFERSON R.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
275 SOUTH ASPEN STREET STOP 89  BUCKLEY AFB, CO 80011-9547 US
Tel: 720-847-6485  Fax: 720-847-6494

Contact information for business:
275 S ASPEN ST STOP 89  AURORA, CO 80011-9562 US
Tel: 720-847-6585  Fax: 720-847-6494

Registration Information:
NPI: 1366693277
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
CA713252

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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