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1083005961
CHARLES T MACDONALD
FRISCO, CO
NPI
1083005961
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CO APN.0992380-NP)
Enumeration Date
2015-02-12
Last Update Date
2016-08-03
Business Address
-- CHARLES T MACDONALD APN
360 PEAK ONE DR STE 110
FRISCO, CO 80443
Phone number: 970-668-3478
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Mailing Address
-- CHARLES T MACDONALD APN
715 HORIZON DR SUITE 225
GRAND JUNCTION, CO 81506-8700
Phone number:
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