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1558631002
SHANE ASHLEY MATTHEWS
FORT COLLINS, CO
NPI
1558631002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CO 3370)
Enumeration Date
2011-12-30
Last Update Date
2014-06-12
Business Address
-- SHANE ASHLEY MATTHEWS PA
2121 E HARMONY RD STE 100
FORT COLLINS, CO 80528-3400
Phone number: 970-221-1000
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Mailing Address
-- SHANE ASHLEY MATTHEWS PA
2121 E HARMONY RD SUITE 100
FORT COLLINS, CO 80528-3400
Phone number: 970-221-1000
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