GRANT BRACKEN

LAFAYETTE, CO
NPI1164042727
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CO  PA.0006486)
Enumeration Date2020-04-23
Last Update Date2023-04-20
Business Address
GRANT BRACKEN PA-C
340 EXEMPLA CIR STE 300
LAFAYETTE, CO 80026-3384
Phone number: 303-673-1390
Mailing Address
GRANT BRACKEN PA-C
340 EXEMPLA CIR STE 300
LAFAYETTE, CO 80026-3384
Phone number: 303-673-1390
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