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1275953689
KALLGREN DERMATOLOGY
BOULDER, CO
NPI
1275953689
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Entity Type
Organization
Authorized Contact
SUSAN LYNN RANCIS
Pa C
303-444-8100
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: CO 179)
Enumeration Date
2014-04-24
Last Update Date
2014-04-24
Business Address
KALLGREN DERMATOLOGY
3434 47TH STREET SUITE 200
BOULDER, CO 80301
Phone number: 303-444-8100
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Mailing Address
KALLGREN DERMATOLOGY
3434 47TH STREET SUITE 200
BOULDER, CO 80301
Phone number: 303-444-8100
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