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1013033638
EAN C MORITZ
LAFAYETTE, CO
NPI
1013033638
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CO 1883)
Enumeration Date
2007-03-22
Last Update Date
2021-03-19
Business Address
EAN C MORITZ PA
280 EXEMPLA CIR
LAFAYETTE, CO 80026-3370
Phone number: 303-338-4545
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Mailing Address
EAN C MORITZ PA
10350 E DAKOTA AVE
DENVER, CO 80247-1314
Phone number: 303-338-3382
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