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Individual

MRS. BEVERLY JO ROULEAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OPTICIAN

Contact information

Practice address
7800 E HAMPDEN AVE UNIT 51, DENVER, CO 80231-4862
(303) 755-9880
(303) 338-5994
Mailing address
7800 E HAMPDEN AVE UNIT 51, DENVER, CO 80231-4862
(303) 755-9880
(303) 338-5994

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
095713
CO

Other

Enumeration date
08/23/2023
Last updated
08/23/2023
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