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CHERYL ELAINE GREGORIO PAC

Medical >> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1114970308

Individual Registrant:
 CHERYL ELAINE GREGORIO PAC
Gender: F

Location and contact information for practice:
559 VINCENT ST.  PETERSON AFB, CO 80914-1540 US
Tel: 719-556-1060  Fax: 719-556-9677

Contact information for business:
559 VINCENT ST 21ST MEDICAL GROUP/SGHQ (CREDENTIALS) PETERSON AFB, CO 80914-1540 US
Tel: 719-556-1060  Fax: 719-556-9677

Registration Information:
NPI: 1114970308
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Medical
TXPA01706

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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