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1063439743
SHANNON BUCKVOLD
AURORA, CO
NPI
1063439743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080P0203X Pediatrics, Pediatric Critical Care Medicine
(Licence: CO 44614)
Enumeration Date
2006-07-17
Last Update Date
2012-09-12
Business Address
-- SHANNON BUCKVOLD MD
13123 E 16TH AVE
AURORA, CO 80045-7106
Phone number: 720-777-1234
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Mailing Address
-- SHANNON BUCKVOLD MD
PO BOX 110429
AURORA, CO 80042-0429
Phone number: 303-493-7000
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