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1679922777
GARY ANTHONY SERRAVO
PUEBLO, CO
NPI
1679922777
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CO PA.0004647)
Enumeration Date
2016-06-09
Last Update Date
2016-07-06
Business Address
-- GARY ANTHONY SERRAVO PA-C
400 W 16TH ST
PUEBLO, CO 81003-2745
Phone number: 719-584-4306
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Mailing Address
-- GARY ANTHONY SERRAVO PA-C
400 W 16TH ST
PUEBLO, CO 81003-2745
Phone number: 719-584-4306
Copy
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