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1316464076
BOULDER VALLEY IOM, LLC
BROOMFIELD, CO
NPI
1316464076
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Entity Type
Organization
Authorized Contact
ALEXANDRA LEWIS
Onwer
202-316-9902
Organization Subpart ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
Enumeration Date
2017-08-24
Last Update Date
2024-03-07
Business Address
BOULDER VALLEY IOM, LLC
3492 W 155TH AVE
BROOMFIELD, CO 80023-4100
Phone number: 202-316-9902
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Mailing Address
BOULDER VALLEY IOM, LLC
5023 W 120TH AVE PO BOX 236
BROOMFIELD, CO 80020-5606
Phone number: 303-803-4004
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