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Individual

DOUGLAS COURSEN CALDWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MASSAGE THERAPIST

Contact information

Practice address
4185 E WILDCAT RESERVE PKWY, G70, HIGHLANDS RANCH, CO 80126-6801
(303) 683-1877
Mailing address
4185 E WILDCAT RESERVE PKWY, G70, HIGHLANDS RANCH, CO 80126-6801
(303) 683-1877

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
0330922
CO
225700000X
Massage Therapist
Primary
MT0014602
CO

Other

Enumeration date
07/03/2013
Last updated
07/03/2013
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