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1356980205
SEAN WALLIS
BOULDER, CO
NPI
1356980205
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Former Name
SEAN M PIPPITT
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CO APN.0995133-NP)
Enumeration Date
2019-12-24
Last Update Date
2023-12-19
Business Address
SEAN WALLIS NP
4747 ARAPAHOE AVE
BOULDER, CO 80303-1131
Phone number: 303-415-7000
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Mailing Address
SEAN WALLIS NP
8769 W CORNELL AVE APT 3
LAKEWOOD, CO 80227-4820
Phone number: 720-325-4228
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