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1275698904
LARA M ANTONELLI
FORT COLLINS, CO
NPI
1275698904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CO PA 1669)
Enumeration Date
2006-12-22
Last Update Date
2022-02-28
Business Address
LARA M ANTONELLI PA
1107 S LEMAY AVE STE 200
FORT COLLINS, CO 80524-3959
Phone number: 970-484-1757
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Mailing Address
LARA M ANTONELLI PA
1107 S LEMAY AVE STE 200
FORT COLLINS, CO 80524-3959
Phone number: 970-484-1757
Copy
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