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Sandra Black
NPI 1437663432 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1385 Georgetown Rd
Boulder, CO 80305 - Phone
- (303) 981-6937
Additional practice sites
- 1455 Dixon Ave, Lafayette, CO
- 1385 Georgetown Rd, Boulder, CO
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado