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Organization
BOULDER NUTRITION & EXERCISE SERVICES, LLC
Active
Organization
BOULDER NUTRITION & EXERCISE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATIE DORAN FILKINS RD (OWNER/ FOUNDER)
(303) 440-1015
Entity
Organization
Contact information
Practice address
2900 VALMONT RD STE G, BOULDER, CO 80301-1344
(303) 440-1015
(303) 440-8998
Mailing address
2900 VALMONT RD STE G, BOULDER, CO 80301-1344
(303) 440-1015
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1048357
CO
133V00000X
Registered Dietitian
12905
CO
133V00000X
Registered Dietitian
Primary
925549
CO
133V00000X
Registered Dietitian
932302
CO
133V00000X
Registered Dietitian
972797
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1048357
CDR
CO
01
—
12905
CDR REGISTRATION
CO
01
—
925549
CDR REGISTRATION
CO
01
—
932302
CDR REGISTRATION
CO
01
—
972797
CDR REGISTRATION
CO
Enumeration date
12/12/2007
Last updated
11/16/2011
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