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Individual

MISS CARA CHRISTINE LEISHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
580 MOHAWK DR, BOULDER, CO 80303-3712
(303) 614-1400
Mailing address
4935 TWIN LAKES RD, #36, BOULDER, CO 80301-3888
(858) 414-5949

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
39675
CO

Other

Enumeration date
11/02/2009
Last updated
11/02/2009
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