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1063714848
LARA LOUISE HUNTER
LONGMONT, CO
NPI
1063714848
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Former Name
LARA LOUISE PERMUT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CO PA.0005669)
Enumeration Date
2010-11-30
Last Update Date
2022-12-01
Business Address
LARA LOUISE HUNTER PA
1610 DRY CREEK DR
LONGMONT, CO 80503-6405
Phone number: 303-772-1600
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Mailing Address
LARA LOUISE HUNTER PA
2500 E PROSPECT RD
FORT COLLINS, CO 80525-9718
Phone number: 970-493-0112
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