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1245460179
FERNANDO BOTELLO
BROOMFIELD, CO
NPI
1245460179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
Enumeration Date
2009-07-27
Last Update Date
2009-07-27
Business Address
-- FERNANDO BOTELLO CNIM
350 INTERLOCKEN BLVD STE. 360
BROOMFIELD, CO 80021-3477
Phone number: 303-339-1499
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Mailing Address
-- FERNANDO BOTELLO CNIM
350 INTERLOCKEN BLVD STE. 360
BROOMFIELD, CO 80021-3477
Phone number: 303-339-1499
Copy
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