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Individual

KRISTI LYNN PAETZEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4840 LARIMER PKWY BLDG 1, JOHNSTOWN, CO 80534-9012
(970) 624-2830
(970) 624-2836
Mailing address
4840 LARIMER PKWY BLDG 1, JOHNSTOWN, CO 80534-9012
(970) 624-2830
(970) 624-2836

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0002494
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42422540
CO
Enumeration date
10/15/2007
Last updated
10/07/2020
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