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1700091741
ERIK GLENN BOMSTA
LONE TREE, CO
NPI
1700091741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
Enumeration Date
2007-05-12
Last Update Date
2007-07-08
Business Address
Mr. ERIK GLENN BOMSTA CNIM
10103 RIDGEGATE PKWY SUITE 306
LONE TREE, CO 80124-5520
Phone number: 303-225-8120
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Mailing Address
Mr. ERIK GLENN BOMSTA CNIM
7217 SHOREHAM DR
CASTLE ROCK, CO 80108-8819
Phone number: 303-814-3320
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