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1225856867
MAC ANDREW JACK
BOULDER, CO
NPI
1225856867
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CO CO-2847)
Enumeration Date
2024-10-02
Last Update Date
2024-10-02
Business Address
MAC ANDREW JACK
2919 VALMONT RD STE 204
BOULDER, CO 80301
Phone number: 303-938-1110
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Mailing Address
MAC ANDREW JACK
2919 VALMONT RD STE 204
BOULDER, CO 80301
Phone number:
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