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Individual

SKYLA CHERISE BOSCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1501 S POTOMAC ST, AURORA, CO 80012-5411
(303) 695-2628
(303) 306-7753
Mailing address
PO BOX 173862, DENVER, CO 80217-3862
(303) 306-7783
(303) 306-7753

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2999
CO
363A00000X
Physician Assistant
Primary
PA.0002999
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01303732
CO
01
1092313
NCCPA
GA
Enumeration date
07/05/2010
Last updated
07/02/2015
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