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1063814358
JASON VALDERRAMA
LOVELAND, CO
NPI
1063814358
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CO 4125)
Enumeration Date
2014-09-18
Last Update Date
2014-10-22
Business Address
Mr. JASON VALDERRAMA PA-C
302 3RD ST SE 150
LOVELAND, CO 80537-6419
Phone number: 970-669-4855
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Mailing Address
Mr. JASON VALDERRAMA PA-C
2930 11TH AVE
EVANS, CO 80620-1011
Phone number: 970-350-4606
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