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Individual

GINA ISABEL JIMENEZ-SANTIAGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2625 W PUEBLO BLVD, PUEBLO, CO 81004-3816
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0005192
CO

Other

Enumeration date
01/04/2018
Last updated
05/13/2021
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