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Individual

MS. TABATHA ALMA TOMAJKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
300 EXEMPLA CIRCLE, SUITE 360, BLUESTONE ADVANCED SURGICAL CARE, LAFAYETTE, CO 80026
(303) 689-6560
Mailing address
1995 E COALTON RD, APT 76-101, SUPERIOR, CO 80027-4419
(203) 940-1367

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2898
CO

Other

Enumeration date
09/01/2006
Last updated
12/02/2009
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