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1790818615
LIZA DYLAN PATRICK
BOULDER, CO
NPI
1790818615
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: CO 123793)
Enumeration Date
2007-03-13
Last Update Date
2008-07-09
Business Address
-- LIZA DYLAN PATRICK CNM
3303 N. BROADWAY ST.
BOULDER, CO 80304-2241
Phone number: 303-449-6050
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Mailing Address
-- LIZA DYLAN PATRICK CNM
1345 PLAZA COURT N. #1A
LAFAYETTE, CO 80026-2832
Phone number: 303-665-3036
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