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1295931418
BOONE BREWER
FORT COLLINS, CO
NPI
1295931418
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CO 9415)
Enumeration Date
2007-06-25
Last Update Date
2012-10-11
Business Address
Dr. BOONE BREWER D.D.S.
2129 W ELIZABETH ST
FORT COLLINS, CO 80521-4236
Phone number: 970-493-9116
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Mailing Address
Dr. BOONE BREWER D.D.S.
1302 BELMONT RD
GRAND FORKS, ND 58201-5626
Phone number: 763-258-6883
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