Individual
JASON BLALACK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
L.AC., M.S.
Contact information
Practice address
2600 30TH ST, SUITE 200, BOULDER, CO 80301-1200
(303) 545-5792
Mailing address
2600 30TH ST, SUITE 200, BOULDER, CO 80301-1200
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
864
CO
Other
Enumeration date
05/21/2006
Last updated
07/08/2007
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