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1922429901
JACQUELINE L HOUSE
FORT COLLINS, CO
NPI
1922429901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2013-12-18
Last Update Date
2020-01-13
Business Address
JACQUELINE L HOUSE Physician Assistant
3519 RICHMOND DR
FORT COLLINS, CO 80526-5995
Phone number: 970-204-0300
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Mailing Address
JACQUELINE L HOUSE Physician Assistant
3519 RICHMOND DR
FORT COLLINS, CO 80526-5995
Phone number: 970-204-0300
Copy
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