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Individual

VALERIE B PETRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2500 S HAVANA ST, AURORA, CO 80014-1618
(303) 360-1079
Mailing address
12832 JASMINE ST, #B, BRIGHTON, CO 80602
(720) 276-9706

Taxonomy

Speciality
Code
Description
License number
State
2278C0205X
Critical Care Certified Respiratory Therapist
Primary
118517
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
014425
KAISER-COMMERCIAL NUMBER
Enumeration date
02/28/2007
Last updated
07/08/2007
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