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Individual

DR. BETTY JEAN MANASTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4200 E NINTH AVE, BOX A030, DENVER, CO 80262-0001
(303) 372-6136
Mailing address
325 OVERLOOK DR, BOULDER, CO 80305-5258
(303) 494-9911

Taxonomy

Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
DR000000038105
CO

Other

Enumeration date
10/18/2006
Last updated
07/08/2007
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