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1902903933
DERIC J RACHJAIBUN
NORTHGLENN, CO
NPI
1902903933
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CO 41861)
Enumeration Date
2006-09-20
Last Update Date
2019-04-23
Business Address
Dr. DERIC J RACHJAIBUN MD
11990 GRANT ST STE 110
NORTHGLENN, CO 80233-1122
Phone number: 720-928-0244
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Mailing Address
Dr. DERIC J RACHJAIBUN MD
11990 GRANT ST STE 110
NORTHGLENN, CO 80233-1122
Phone number: 720-928-0244
Copy
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