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Individual

MISS ASHLEY DAWN FITZPATRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1450 E VALLEY RD UNIT 102, BASALT, CO 81621-8352
(980) 927-4666
Mailing address
1450 E VALLEY RD UNIT 102, BASALT, CO 81621-8352
(980) 424-4779

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4100
CO
363A00000X
Physician Assistant
Primary
PA.0004100
CO

Other

Enumeration date
08/14/2014
Last updated
02/11/2021
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