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1356474647
OUR LADY OF GRACE MEDICAL CLINIC PC
NORTHGLENN, CO
NPI
1356474647
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Entity Type
Organization
Authorized Contact
CARLOS F VERA
CEO
303-531-5181
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2007-03-14
Last Update Date
2008-03-04
Business Address
OUR LADY OF GRACE MEDICAL CLINIC PC
992 W 104TH AVE
NORTHGLENN, CO 80234-3801
Phone number: 303-531-5181
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Mailing Address
OUR LADY OF GRACE MEDICAL CLINIC PC
PO BOX 350968
WESTMINSTER, CO 80035-0968
Phone number: 303-531-5181
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