Provider Information for 1164541827
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Ms. CHRISTINE LEE O'NEILL M.S.
Other Names:Former Name:Ms. CHRISTINE LEE DECREWSex: Female
NPI: 1164541827
Last Updated: 2021-04-06
Certification Date: 2021-04-06
Certification Date: 2021-04-06
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1164541827 | ||||||||||||
| Enumeration Date | 2007-03-27 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1008 NORTHERN WAY SUPERIOR, CO 80027-8178 United States Phone: 303-378-6668 | Fax: | ||||||||||||
| Primary Practice Address | 3180 AIRPORT RD BOULDER, CO 80301-2208 United States Phone: 303-957-6293 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 1036 UNIVERSITY AVE | ||||||||||||
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