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1104107218
PROFESSIONAL NEUROLOGICS, LLC
BROOMFIELD, CO
NPI
1104107218
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Entity Type
Organization
Authorized Contact
TRACEY E LANHAM
Managing Member
303-829-6753
Organization Subpart ?
No
Primary Taxonomy
231H00000X Audiologist
Enumeration Date
2011-09-01
Last Update Date
2011-09-01
Business Address
PROFESSIONAL NEUROLOGICS, LLC
1026 E 6TH CIR
BROOMFIELD, CO 80020-1502
Phone number: 303-829-6753
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Mailing Address
PROFESSIONAL NEUROLOGICS, LLC
1026 E 6TH CIR
BROOMFIELD, CO 80020-1502
Phone number: 303-829-6753
Copy
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