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1124174453
PAUL EDWARD MACKELL
LAFAYETTE, CO
NPI
1124174453
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CO 25320)
Enumeration Date
2007-01-27
Last Update Date
2010-12-16
Business Address
-- PAUL EDWARD MACKELL MD
588 US HIGHWAY 287 SUITE 204
LAFAYETTE, CO 80026-2604
Phone number: 303-666-4606
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Mailing Address
-- PAUL EDWARD MACKELL MD
4269 CARTER TRL
BOULDER, CO 80301-3805
Phone number: 303-666-4606
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