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1073003943
LANDON EVERETT LAVENE
BOULDER, CO
NPI
1073003943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CO 0015697)
Enumeration Date
2018-05-15
Last Update Date
2020-09-22
Business Address
LANDON EVERETT LAVENE
3000 CENTER GREEN DR STE 110
BOULDER, CO 80301-2364
Phone number: 303-413-9903
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Mailing Address
LANDON EVERETT LAVENE
PO BOX 5718
KALISPELL, MT 59903-5718
Phone number: 406-756-0134
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