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1679949416
MICHELLE LAPORTE JACKSON
LOVELAND, CO
NPI
1679949416
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CO PA0007793)
Enumeration Date
2015-08-17
Last Update Date
2024-02-09
Business Address
MICHELLE LAPORTE JACKSON PA-C
2880 MONROE AVE
LOVELAND, CO 80538-3274
Phone number: 970-613-6800
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Mailing Address
MICHELLE LAPORTE JACKSON PA-C
2930 11TH AVE
EVANS, CO 80620-1011
Phone number: 970-350-4606
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