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1104297357
CAROLYN SUZANNE FEARN
SUPERIOR, CO
NPI
1104297357
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Former Name
CAROLYN SUZANNE SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CO APN.0991877-NP)
Enumeration Date
2015-10-14
Last Update Date
2018-06-07
Business Address
CAROLYN SUZANNE FEARN NP
3 SUPERIOR DR STE 100A
SUPERIOR, CO 80027
Phone number: 303-415-5255
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Mailing Address
CAROLYN SUZANNE FEARN NP
5450 WESTERN AVE SUITE B
BOULDER, CO 80301-2709
Phone number: 303-415-5199
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