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1679629034
LOIS BOOMER
MONTROSE, CO
NPI
1679629034
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: UT 105065-4201)
Enumeration Date
2007-01-26
Last Update Date
2021-07-12
Business Address
LOIS BOOMER OT
336 S 10TH ST
MONTROSE, CO 81401-4934
Phone number: 970-249-1412
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Mailing Address
LOIS BOOMER OT
PO BOX 102
NATURITA, CO 81422-0102
Phone number: 970-765-4533
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