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1942251228
CANDACE LILLIAN DIREZZA
WHEAT RIDGE, CO
NPI
1942251228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CO CO 1444)
Enumeration Date
2006-05-12
Last Update Date
2013-06-12
Business Address
Mrs. CANDACE LILLIAN DIREZZA PAC
3555 LUTHERAN PKWY STE 200
WHEAT RIDGE, CO 80033-6027
Phone number: 720-284-3700
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Mailing Address
Mrs. CANDACE LILLIAN DIREZZA PAC
9841 UPHAM DR
WESTMINSTER, CO 80021-4070
Phone number: 303-422-4369
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