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Individual

MARY KATHERINE RATZ MOOBERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
30772 SOUTHVIEW DR STE 140, EVERGREEN, CO 80439-2214
(303) 670-7777
(303) 482-1946
Mailing address
30772 SOUTHVIEW DR STE 140, EVERGREEN, CO 80439-2214
(303) 670-7777
(303) 482-1946

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6029
CO
111NP0017X
Pediatric Chiropractor
6029
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6029
CO CHIROPRACTIC LICENSE #
CO
Enumeration date
02/01/2007
Last updated
01/24/2018
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