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1992179394
BLAZE IOM READING, PLLC
LONGMONT, CO
NPI
1992179394
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Entity Type
Organization
Authorized Contact
BRUCE KATUNA
CEO
713-500-7128
Organization Subpart ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
Enumeration Date
2015-11-23
Last Update Date
2018-11-28
Business Address
BLAZE IOM READING, PLLC
1511 ONYX CIR
LONGMONT, CO 80504-7805
Phone number: 713-500-7128
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Mailing Address
BLAZE IOM READING, PLLC
3102 MAPLE AVE STE 450
DALLAS, TX 75201-1261
Phone number: 281-346-3480
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