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1972523850
TARA J EDICK
DENVER, CO
NPI
1972523850
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CO 1653)
Enumeration Date
2006-07-20
Last Update Date
2023-03-02
Business Address
TARA J EDICK PA
777 BANNOCK ST MC 7782
DENVER, CO 80204-4507
Phone number: 303-436-6000
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Mailing Address
TARA J EDICK PA
360 PEAK ONE DR STE 260
FRISCO, CO 80443
Phone number: 970-668-5584
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