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1396770871
CAROL FOX GOTHAM
FORT COLLINS, CO
NPI
1396770871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CO 70182)
Enumeration Date
2006-07-12
Last Update Date
2011-06-02
Business Address
Ms. CAROL FOX GOTHAM NP
303 COLLAND DR
FORT COLLINS, CO 80525-4205
Phone number: 970-461-8031
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Mailing Address
Ms. CAROL FOX GOTHAM NP
1627 E 18TH ST
LOVELAND, CO 80538-4209
Phone number: 970-663-0135
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