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1023027778
KATHLENE SUE WALLER
FORT COLLINS, CO
NPI
1023027778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080A0000X Pediatrics, Adolescent Medicine
(Licence: CO 30233)
Enumeration Date
2006-08-05
Last Update Date
2007-07-08
Business Address
Dr. KATHLENE SUE WALLER M.D.
HARTSHORN HEALTH SERVICE COLORADO STATE UNIVERSITY
FORT COLLINS, CO 80523-8031
Phone number: 970-491-7121
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Mailing Address
Dr. KATHLENE SUE WALLER M.D.
HARTSHORN HEALTH SERVICE COLORADO STATE UNIVERSITY
FORT COLLINS, CO 80523-8031
Phone number: 970-491-7121
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