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Organization
MEMORU
Active
Organization
MEMORU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE D POULTER RN, MPH (TREASURER)
(720) 312-7760
Entity
Organization
Contact information
Practice address
100 ARAPAHOE AVE STE 10, BOULDER, CO 80302-5815
(720) 312-7760
(303) 494-5240
Mailing address
100 ARAPAHOE AVE STE 10, BOULDER, CO 80302-5815
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
171100000X
Acupuncturist
—
—
175F00000X
Naturopath
—
—
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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