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1952583874
GENEVIEVE C BOULAY
PUEBLO, CO
NPI
1952583874
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: CO 184463)
Enumeration Date
2007-12-03
Last Update Date
2007-12-03
Business Address
GENEVIEVE C BOULAY CRNA
400 W 16TH ST
PUEBLO, CO 81003-2745
Phone number: 719-584-4420
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Mailing Address
GENEVIEVE C BOULAY CRNA
1218 N MAIN ST
PUEBLO, CO 81003-2828
Phone number: 719-533-7877
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