Individual
BREANNE COATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1310 ALPINE AVE, BOULDER, CO 80304-3504
(860) 817-0843
Mailing address
1310 ALPINE AVE, BOULDER, CO 80304-3504
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0007954
CO
Other
Enumeration date
12/31/2018
Last updated
12/31/2018
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