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ELLYN ANN AYERVAIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
11820 DESTINATION DR, BROOMFIELD, CO 80021-2518
(303) 464-4940
(303) 460-6193
Mailing address
PO BOX 560825, DENVER, CO 80256-0825
(719) 595-7580
(719) 545-0176

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0005557
CO

Other

Enumeration date
02/26/2019
Last updated
08/19/2020
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