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1902119902
STACI BOGIN
THORNTON, CO
NPI
1902119902
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Former Name
STACI MCCORVEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: CO POD-698)
Enumeration Date
2010-07-19
Last Update Date
2013-09-13
Business Address
-- STACI BOGIN DPM
3655 E 104TH AVE SUITE B
THORNTON, CO 80233-4469
Phone number: 720-328-2022
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Mailing Address
-- STACI BOGIN DPM
3879 E 120TH AVE #337
THORNTON, CO 80233-1658
Phone number: 720-328-2022
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