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1952653859
REBECCA SUZANNE BOHL
FORT COLLINS, CO
NPI
1952653859
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Former Name
REBECCA SUZANNE BRODA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CO COA109658)
Enumeration Date
2012-10-03
Last Update Date
2022-05-02
Business Address
REBECCA SUZANNE BOHL PA-C
1120 E ELIZABETH ST STE F101
FORT COLLINS, CO 80524-4044
Phone number: 970-584-1063
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Mailing Address
REBECCA SUZANNE BOHL PA-C
203 S ROLLIE AVE
FORT LUPTON, CO 80621-1508
Phone number: 303-286-4560
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