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1962557934
PAUL W VANTOL
LAFAYETTE, CO
NPI
1962557934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CO 130021)
Enumeration Date
2007-01-23
Last Update Date
2022-03-29
Business Address
PAUL W VANTOL N.P.
2593 PARK LN
LAFAYETTE, CO 80026-3172
Phone number: 303-665-0115
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Mailing Address
PAUL W VANTOL N.P.
2104 AMBER CT
ERIE, CO 80516-6833
Phone number: 303-915-8769
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