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1053638049
JAY WILSON D.C. P.C.
BOULDER, CO
NPI
1053638049
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Entity Type
Organization
Authorized Contact
JAY WILSON
Owner
303-449-7414
Organization Subpart ?
No
Primary Taxonomy
302F00000X Exclusive Provider Organization
(Licence: CO 2311)
Enumeration Date
2010-04-29
Last Update Date
2010-04-29
Business Address
JAY WILSON D.C. P.C.
1455 YARMOUTH AVE STE 112
BOULDER, CO 80304-4345
Phone number: 303-449-7414
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Mailing Address
JAY WILSON D.C. P.C.
1455 YARMOUTH AVE STE 112
BOULDER, CO 80304-4345
Phone number: 303-449-7414
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