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1427218528
MARK JOHN BRUNGARDT
LAFAYETTE, CO
NPI
1427218528
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
Enumeration Date
2008-06-11
Last Update Date
2008-06-11
Business Address
MARK JOHN BRUNGARDT NMT
1280 CENTAUR VILLAGE DR STE 8
LAFAYETTE, CO 80026-1255
Phone number: 303-926-1575
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Mailing Address
MARK JOHN BRUNGARDT NMT
10581 W 105TH AVE
WESTMINSTER, CO 80021-7326
Phone number: 303-489-1433
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