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1043393978
GREGORY A FRESHWATER
GRAND JUNCTION, CO
NPI
1043393978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CO 2205)
Enumeration Date
2006-10-23
Last Update Date
2011-04-04
Business Address
-- GREGORY A FRESHWATER PA-C
710 WELLINGTON AVE
GRAND JUNCTION, CO 81501-6123
Phone number: 970-298-7106
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Mailing Address
-- GREGORY A FRESHWATER PA-C
710 WELLINGTON AVE PO BOX 62
GRAND JUNCTION, CO 81501-6123
Phone number: 970-298-7106
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