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1790370914
SQUARE ONE HEALTH LLC
FORT COLLINS, CO
NPI
1790370914
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Entity Type
Organization
Authorized Contact
CHRISTOPHER GUBBELS
Owner
970-207-4463
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2021-03-09
Last Update Date
2021-03-09
Business Address
SQUARE ONE HEALTH LLC
257 BOARDWALK DR
FORT COLLINS, CO 80525-3661
Phone number: 970-207-4463
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Mailing Address
SQUARE ONE HEALTH LLC
4914 BROOKFIELD DR UNIT A
FORT COLLINS, CO 80528-3199
Phone number: 970-207-4463
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