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1841288065
LISA WANGER
AURORA, CO
NPI
1841288065
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CO 1751)
Enumeration Date
2005-10-11
Last Update Date
2011-02-04
Business Address
LISA WANGER PA
13123 E 16TH AVE
AURORA, CO 80045-7106
Phone number: 720-777-1234
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Mailing Address
LISA WANGER PA
PO BOX 876
AURORA, CO 80040-0876
Phone number: 303-493-7000
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