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1528334166
PAUL R. BACALIS
FORT COLLINS, CO
NPI
1528334166
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Professional Name
PAUL R. BACALIS
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CO C-APN.0000174-C-NP)
Enumeration Date
2012-03-28
Last Update Date
2016-04-04
Business Address
PAUL R. BACALIS
1024 S LEMAY AVE
FORT COLLINS, CO 80524-3929
Phone number: 970-495-7000
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Mailing Address
PAUL R. BACALIS
PO BOX 912215
DENVER, CO 80291-2215
Phone number: 303-306-7783
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