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1083968119
BRANDY M FALL
FORT COLLINS, CO
NPI
1083968119
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Former Name
BRANDY MARIE NEWTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CO PA.0005626)
Enumeration Date
2012-10-26
Last Update Date
2021-07-14
Business Address
Mrs. BRANDY M FALL PA-C
2500 E PROSPECT RD
FORT COLLINS, CO 80525-9718
Phone number: 970-493-0112
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Mailing Address
Mrs. BRANDY M FALL PA-C
2500 E PROSPECT RD
FORT COLLINS, CO 80525-9718
Phone number: 970-493-0112
Copy
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