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Individual

HEATHER KUDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
135 CLEAR CREEK STREET, BLACK HAWK, CO 80422
(303) 582-9205
(303) 582-9270
Mailing address
PO BOX 418, BLACK HAWK, CO 80422-0418

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4843
CO

Other

Enumeration date
07/22/2010
Last updated
07/22/2010
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