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Individual

TERESA MARIE SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.AC.

Contact information

Practice address
250 ARAPAHOE AVE, SUITE 101, BOULDER, CO 80302-5863
(720) 432-9132
Mailing address
2610 IRIS AVE, #202, BOULDER, CO 80304-2498
(303) 544-0421

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1788
CO

Other

Enumeration date
07/10/2012
Last updated
07/30/2012
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