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1871620880
ROBERTA L SHANAHAN
LONGMONT, CO
NPI
1871620880
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: CO 15986)
Enumeration Date
2007-02-27
Last Update Date
2007-11-02
Business Address
-- ROBERTA L SHANAHAN Pharm D
2345 BENT WAY
LONGMONT, CO 80503-7614
Phone number: 303-678-3243
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Mailing Address
-- ROBERTA L SHANAHAN Pharm D
2345 BENT WAY
LONGMONT, CO 80503-7614
Phone number: 303-678-3243
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