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Individual

SUSAN VASTANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
4540 COMANCHE DR, BOULDER, CO 80303-3623
(970) 948-1431
Mailing address
PO BOX 8790, ASPEN, CO 81612-8790

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14807
CO

Other

Enumeration date
04/07/2020
Last updated
06/04/2021
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