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Individual

MS. DEBBY JEAN FAES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA C

Contact information

Practice address
3655 LUTHERAN PARKWAY, SUITE 300, WHEAT RIDGE, CO 80033-6011
(720) 284-3700
(303) 467-0525
Mailing address
5025 STUART ST, DENVER, CO 80212-2925
(303) 458-5906

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
426
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41429869
CO
Enumeration date
05/15/2007
Last updated
07/08/2007
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