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1194409441
BRO - BOULDER LLC
BOULDER, CO
NPI
1194409441
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Entity Type
Organization
Authorized Contact
TIMOTHY J MAZZOLA
Sole Owner
720-463-0567
Organization Subpart ?
Yes
Primary Taxonomy
207XX0005X Orthopaedic Surgery, Sports Medicine
Enumeration Date
2023-06-14
Last Update Date
2023-06-14
Business Address
BRO - BOULDER LLC
5420 ARAPAHOE AVE STE A
BOULDER, CO 80303-1250
Phone number: 720-463-0567
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Mailing Address
BRO - BOULDER LLC
5420 ARAPAHOE AVE STE A
BOULDER, CO 80303-1250
Phone number: 720-463-0567
Copy
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