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1891836433
KELLY DEIDEL
CENTENNIAL, CO
NPI
1891836433
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CO 2265)
Enumeration Date
2007-02-08
Last Update Date
2017-08-07
Business Address
-- KELLY DEIDEL PA
9094 E MINERAL CIR SUITE 100
CENTENNIAL, CO 80112-7200
Phone number: 303-694-3200
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Mailing Address
-- KELLY DEIDEL PA
9094 E MINERAL CIR SUITE 100
CENTENNIAL, CO 80112-7200
Phone number: 303-694-3200
Copy
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