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1659853174
RADIANT HEALTH LLC
BOULDER, CO
NPI
1659853174
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Entity Type
Organization
Authorized Contact
TANJA JOHNSON
Administrator
541-908-3672
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CO 990711)
Enumeration Date
2018-08-31
Last Update Date
2018-08-31
Business Address
RADIANT HEALTH LLC
350 ARAPAHOE AVE APT 18
BOULDER, CO 80302-5843
Phone number: 541-908-3672
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Mailing Address
RADIANT HEALTH LLC
350 ARAPAHOE AVE APT 18
BOULDER, CO 80302-5843
Phone number: 541-908-3672
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