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Individual

MAUREEN D KASUBASKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2550 S PARKER RD STE 400, AURORA, CO 80014-1677
(303) 743-5855
Mailing address
10235 CARRIAGE CLUB DR, LONE TREE, CO 80124-9770
(303) 858-1656

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
121354
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
015076
KAISER-COMMERCIAL NUMBER
Enumeration date
02/27/2007
Last updated
07/08/2007
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