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1992707129
MARK LAITOS
LONGMONT, CO
NPI
1992707129
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CO 24883)
Enumeration Date
2005-06-01
Last Update Date
2008-04-25
Business Address
-- MARK LAITOS MD
1309 SUNSET ST
LONGMONT, CO 80501-3215
Phone number: 303-772-5578
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Mailing Address
-- MARK LAITOS MD
1309 SUNSET ST
LONGMONT, CO 80501-3215
Phone number: 303-772-5578
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