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1669206199
MARIE CAROLLE ANNIE BANVILLE
BOULDER, CO
NPI
1669206199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CO 0999952-NP)
Enumeration Date
2024-08-28
Last Update Date
2024-08-28
Business Address
DR. MARIE CAROLLE ANNIE BANVILLE DNP-FNP-C
1220 26TH ST
BOULDER, CO 80302-6802
Phone number: 970-769-1324
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Mailing Address
DR. MARIE CAROLLE ANNIE BANVILLE DNP-FNP-C
1220 26TH ST
BOULDER, CO 80302-6802
Phone number: 970-769-1324
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