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1316286008
CARLOS EDUARDO FUENMAYOR
AURORA, CO
NPI
1316286008
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CO 13-115)
Enumeration Date
2013-01-31
Last Update Date
2013-01-31
Business Address
-- CARLOS EDUARDO FUENMAYOR CSA
1673 S FLANDERS WAY
AURORA, CO 80017-5509
Phone number: 720-748-2888
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Mailing Address
-- CARLOS EDUARDO FUENMAYOR CSA
22154 E EUCLID DR
AURORA, CO 80016-2359
Phone number: 720-377-4160
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