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CARLOS EDUARDO FUENMAYOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CSA

Contact information

Practice address
1673 S FLANDERS WAY, AURORA, CO 80017-5509
(720) 748-2888
Mailing address
22154 E EUCLID DR, AURORA, CO 80016-2359
(720) 377-4160

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
13-115
CO

Other

Enumeration date
01/31/2013
Last updated
01/31/2013
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