Individual
MS. VICKIE L BOHLENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2627 REDWING RD, SUITE 220A, FORT COLLINS, CO 80526-6321
(970) 613-1755
(970) 613-1757
Mailing address
2357 AMBER CT, LOVELAND, CO 80537-6984
(970) 613-1755
(970) 613-1757
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9342281
—
CO
Enumeration date
10/05/2006
Last updated
04/17/2009
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