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1720033939
ALAN THOMAS VILLAVICENCIO
BOULDER, CO
NPI
1720033939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207T00000X Neurological Surgery
(Licence: CO DR40687)
Enumeration Date
2006-05-24
Last Update Date
2022-07-13
Business Address
ALAN THOMAS VILLAVICENCIO MD
4743 ARAPAHOE AVE SUITE 202
BOULDER, CO 80303-1113
Phone number: 303-938-5700
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Mailing Address
ALAN THOMAS VILLAVICENCIO MD
PO BOX 9049
BOULDER, CO 80301-9049
Phone number: 303-938-5700
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