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Individual

DR. MARY FRANCES MACLEOD-OGUNTUASE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1801 16TH ST, GREELEY, CO 80631-5154
(970) 810-4121
Mailing address
1801 16TH ST, GREELEY, CO 80631-5154

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
5101021903
MI
208000000X
Pediatrics Physician
Primary
DR.0063133
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
029484
KAISER COMMERCIAL NUMBER
CO
05
9000184960
CO
Enumeration date
06/04/2015
Last updated
12/01/2023
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