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1114061991
SUZANNE M PETLA
LAFAYETTE, CO
NPI
1114061991
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CO 47402)
Enumeration Date
2007-02-16
Last Update Date
2007-07-08
Business Address
SUZANNE M PETLA
280 EXEMPLA CIR
LAFAYETTE, CO 80026-3370
Phone number: 720-536-7598
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Mailing Address
SUZANNE M PETLA
11517 DEPEW WAY
WESTMINSTER, CO 80020-6857
Phone number: 303-438-8421
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