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Individual

CONSTANCE ROARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D.N.

Contact information

Practice address
2935 BASELINE RD STE 302, BOULDER, CO 80303-2367
(720) 315-0051
Mailing address
2235 FLORAL DR, BOULDER, CO 80304-2741

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1061264
CO

Other

Enumeration date
07/11/2016
Last updated
07/11/2016
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