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1710936315
TERRY VILLARREAL-GOLBA
FRUITA, CO
NPI
1710936315
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CO PA.0001524)
Enumeration Date
2006-05-09
Last Update Date
2019-04-16
Business Address
TERRY VILLARREAL-GOLBA PA
281 N PLUM ST
FRUITA, CO 81521-2100
Phone number: 970-858-9894
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Mailing Address
TERRY VILLARREAL-GOLBA PA
PO BOX 130
FRUITA, CO 81521-0130
Phone number: 970-858-9894
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