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1770958969
BRANDON WAY
AURORA, CO
NPI
1770958969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: CO ANT.0000053)
Enumeration Date
2015-12-14
Last Update Date
2016-03-11
Business Address
-- BRANDON WAY
12605 E 16TH AVE
AURORA, CO 80045-2545
Phone number: 720-848-0000
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Mailing Address
-- BRANDON WAY
PO BOX 110429
AURORA, CO 80042-0429
Phone number: 303-493-7000
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