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Individual

MAUREEN SOUCY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1031 PORTLAND PL, #6, BOULDER, CO 80304-3371
(908) 494-6334
Mailing address
1031 PORTLAND PL, #6, BOULDER, CO 80304-3371
(908) 494-6334

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
47407
CO

Other

Enumeration date
04/11/2010
Last updated
04/11/2010
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