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1215636121
KATELYN GUSTAFSON
COLORADO SPRINGS, CO
NPI
1215636121
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CO PA.0007815)
Enumeration Date
2023-02-28
Last Update Date
2023-05-23
Business Address
KATELYN GUSTAFSON PA-C
4110 BRIARGATE PKWY STE 300
COLORADO SPRINGS, CO 80920-7837
Phone number: 719-632-7669
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Mailing Address
KATELYN GUSTAFSON PA-C
4110 BRIARGATE PKWY STE 300
COLORADO SPRINGS, CO 80920-7837
Phone number: 719-632-7669
Copy
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