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1487136065
MARY KOELLING BORNEMAN
WINDSOR, CO
NPI
1487136065
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CO SLP.0003029)
Enumeration Date
2018-08-30
Last Update Date
2018-08-30
Business Address
MARY KOELLING BORNEMAN M.Ed, CCC-SLP
1475 MAIN ST
WINDSOR, CO 80550-6029
Phone number: 970-449-5541
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Mailing Address
MARY KOELLING BORNEMAN M.Ed, CCC-SLP
1915 13TH AVE
GREELEY, CO 80631-5446
Phone number: 678-357-8172
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