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1306921051
LISA M. GUSTAS
AURORA, CO
NPI
1306921051
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: CO 42080)
Enumeration Date
2006-10-25
Last Update Date
2019-01-28
Business Address
LISA M. GUSTAS PNP
13123 E 16TH AVE
AURORA, CO 80045-7106
Phone number: 720-777-1234
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Mailing Address
LISA M. GUSTAS PNP
13611 E COLFAX AVE
AURORA, CO 80045-5701
Phone number: 303-493-7000
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