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1144775883
LISA TEESDALE
BOULDER, CO
NPI
1144775883
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Former Name
LISA FRONCEK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CO 0101259)
Enumeration Date
2016-08-23
Last Update Date
2016-08-31
Business Address
-- LISA TEESDALE R.N.
1333 IRIS AVE
BOULDER, CO 80304-2226
Phone number: 303-443-8500
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Mailing Address
-- LISA TEESDALE R.N.
1333 IRIS AVE
BOULDER, CO 80304-2226
Phone number: 303-443-8500
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