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1356468979
S.JASON MOORE
VAIL, CO
NPI
1356468979
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CO 2029)
Enumeration Date
2007-03-26
Last Update Date
2008-12-22
Business Address
-- S.JASON MOORE P.A.
181 W MEADOW DR
VAIL, CO 81657-5242
Phone number: 970-479-5036
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Mailing Address
-- S.JASON MOORE P.A.
PO BOX 270596
LOUISVILLE, CO 80027-5009
Phone number: 970-569-7478
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