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1508912197
TRACY CASAULT
BOULDER, CO
NPI
1508912197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207QS0010X Family Medicine, Sports Medicine
(Licence: CO 45638)
Enumeration Date
2007-01-26
Last Update Date
2013-11-26
Business Address
-- TRACY CASAULT D.O.
119 UCB
BOULDER, CO 80309-0119
Phone number: 303-492-5101
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Mailing Address
-- TRACY CASAULT D.O.
119 UCB
BOULDER, CO 80309-0119
Phone number: 303-492-5101
Copy
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