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STEPHANIE FLORES PA-C

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

Registrant NPI Number: 1891259461

Individual Registrant:
 STEPHANIE  FLORES PA-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1115 2ND ST  FORT LUPTON, CO 80621-1745 US
Tel: 303-697-2583  Fax: --

Contact information for business:
1552 E GIRARD PL APT 921A  ENGLEWOOD, CO 80113-9121 US
Tel: 970-347-0475  Fax: --

Registration Information:
NPI: 1891259461
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
COPA.0005580

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
0CO05




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