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1083817373
JD WIDEMAN
FORT COLLINS, CO
NPI
1083817373
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CO 47085)
Enumeration Date
2007-06-06
Last Update Date
2014-09-17
Business Address
Dr. JD WIDEMAN DO
3519 RICHMOND DR
FORT COLLINS, CO 80526-5995
Phone number: 970-204-0300
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Mailing Address
Dr. JD WIDEMAN DO
3702 AUTOMATION WAY SUITE 103
FORT COLLINS, CO 80525-5737
Phone number: 970-224-1670
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