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Individual

MS. CYDNEY BOUBON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT, CNMT

Contact information

Practice address
1126 E MONUMENT ST, COLORADO SPRINGS, CO 80903-2869
(719) 475-0501
Mailing address
330 E COSTILLA ST, PMB#31, COLORADO SPRINGS, CO 80903-2106
(719) 475-0501

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12560
CO

Other

Enumeration date
05/20/2008
Last updated
05/20/2008
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