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Individual

SARAH SUPRISE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MMS, PA-C

Contact information

Practice address
501 AIRPORT RD, RIFLE, CO 81650-8510
(269) 207-1238
Mailing address
PO BOX 912, RIFLE, CO 81650-0912
(970) 625-6555

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0006292
CO

Other

Enumeration date
08/23/2019
Last updated
01/25/2021
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