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1356778914
REED MARK SOUKUP
FORT COLLINS, CO
NPI
1356778914
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CO PA.0003792)
Enumeration Date
2013-09-27
Last Update Date
2016-10-10
Business Address
-- REED MARK SOUKUP PA-C
2001 S SHIELDS E101
FORT COLLINS, CO 80526-1872
Phone number: 970-493-5334
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Mailing Address
-- REED MARK SOUKUP PA-C
2001 S SHIELDS E101
FORT COLLINS, CO 80526-1872
Phone number: 970-493-5334
Copy
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