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1073235180
CORY R PETICOLAS
BRIGHTON, CO
NPI
1073235180
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CO 0997994)
Enumeration Date
2022-09-15
Last Update Date
2022-09-15
Business Address
Mr. CORY R PETICOLAS FNP-C
2801 PURCELL ST
BRIGHTON, CO 80601-3551
Phone number: 303-558-0515
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Mailing Address
Mr. CORY R PETICOLAS FNP-C
6107 S WESTVIEW ST
LITTLETON, CO 80120-2837
Phone number: 720-280-2595
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