Individual
MRS. COLLEEN ELIZABETH VAILLANCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
12792 W ALAMEDA PKWY, SUITE E, LAKEWOOD, CO 80228-2858
(303) 880-1779
Mailing address
15722 W 1ST DR, GOLDEN, CO 80401-5501
(303) 880-1779
(303) 499-4962
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5931
CO
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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