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1023168002
CAROL JOAN PALM
BOULDER, CO
NPI
1023168002
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Former Name
CAROL JOAN SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CO 84137)
Enumeration Date
2007-01-11
Last Update Date
2007-07-08
Business Address
-- CAROL JOAN PALM RN
2515 BROADWAY ST
BOULDER, CO 80304-4110
Phone number: 303-245-0894
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Mailing Address
-- CAROL JOAN PALM RN
1019 HERMAN PL
LONGMONT, CO 80501-1802
Phone number: 303-772-3084
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