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Individual

MRS. MOLLY CAROL SHOCKLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
2900 VALMONT RD STE G, BOULDER, CO 80301-1344
(303) 440-1015
Mailing address
2501 S COUNTY ROAD 21, BERTHOUD, CO 80513-8456
(303) 956-8088

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1048357
CO

Other

Enumeration date
11/16/2011
Last updated
03/29/2012
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