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1205836848
THERESA FEDAK
BOULDER, CO
NPI
1205836848
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CO 86240)
Enumeration Date
2005-07-26
Last Update Date
2016-01-06
Business Address
Ms. THERESA FEDAK FNP-BC
3145 20TH ST
BOULDER, CO 80304-2700
Phone number: 303-447-8189
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Mailing Address
Ms. THERESA FEDAK FNP-BC
3145 20TH ST
BOULDER, CO 80304-2700
Phone number: 303-447-8189
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