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Individual

CHERYL A GRASMICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
1755 48TH ST, SUITE 200, BOULDER, CO 80301-2711
(303) 494-5263
(303) 494-5265
Mailing address
345 MAXWELL AVE, BOULDER, CO 80304-3972
(303) 544-5783
(303) 441-2388

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0000620
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1024699
NCCPA
CO
05
96503548
CO
Enumeration date
11/23/2005
Last updated
03/15/2013
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