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Individual

MS. KATE ANINE MCBREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DIPL. AC.

Contact information

Practice address
1150 MAXWELL AVE, BOULDER, CO 80304-4185
(303) 258-0447
Mailing address
PO BOX 1796, NEDERLAND, CO 80466-1796
(303) 258-0447

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
863
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20051104546
EIN
CO
Enumeration date
01/22/2007
Last updated
07/08/2007
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