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1770179335
BOULDER PLASTIC SURGERY PROF LLC
BOULDER, CO
NPI
1770179335
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Entity Type
Organization
Authorized Contact
PAM GARCIA
Office Contact
303-443-2277
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2020-12-17
Last Update Date
2020-12-17
Business Address
BOULDER PLASTIC SURGERY PROF LLC
2525 4TH ST
BOULDER, CO 80304-3966
Phone number: 303-443-3672
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Mailing Address
BOULDER PLASTIC SURGERY PROF LLC
PO BOX 7643
LOVELAND, CO 80537-0643
Phone number: 970-663-2742
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