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1700968989
JOHN J DERISIO
DENVER, CO
NPI
1700968989
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CO 154)
Enumeration Date
2006-10-19
Last Update Date
2010-08-05
Business Address
Mr. JOHN J DERISIO OPA
2535 S DOWNING ST SUITE 100
DENVER, CO 80210-5847
Phone number: 720-524-1367
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Mailing Address
Mr. JOHN J DERISIO OPA
2535 S DOWNING ST SUITE 100
DENVER, CO 80210-5847
Phone number: 720-524-1367
Copy
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