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Individual

MARILYN R DUEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
580 MOHAWK DR, BOULDER, CO 80303-3712
(303) 440-2695
Mailing address
1514 FOSTER CT, LONGMONT, CO 80501-6713
(303) 651-1565

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
90277
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
008070
KAISER-COMMERCIAL NUMBER
Enumeration date
02/27/2007
Last updated
07/08/2007
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