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1295929503
BOULDER FAMILY MEDICINE, PC
BOULDER, CO
NPI
1295929503
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Entity Type
Organization
Authorized Contact
CHARLES TAWA
Manager/Owner
303-996-6923
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CO 28790)
Enumeration Date
2007-08-29
Last Update Date
2007-11-16
Business Address
BOULDER FAMILY MEDICINE, PC
1000 ALPINE AVE STE 260
BOULDER, CO 80304-3406
Phone number: 303-996-6923
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Mailing Address
BOULDER FAMILY MEDICINE, PC
1000 ALPINE AVE STE 260
BOULDER, CO 80304-3406
Phone number: 303-996-6923
Copy
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