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Jackson Alexander Petrauskas
Student in an Organized Health Care Education/Training Program in Castle Rock, Colorado
NPI 1538921259

Jackson Alexander Petrauskas is a Student in an Organized Health Care Education/Training Program based in Castle Rock, CO. Jackson Alexander Petrauskas practices in Castle Rock, CO. The NPI Number for Jackson Alexander Petrauskas is 1538921259 and holds a License No. (Colorado).

The current practice location address for Jackson Alexander Petrauskas is 4837 Rocky Mountain Dr, Castle Rock, CO and can be reached out via phone at 720-300-2271.

Location: 4837 Rocky Mountain Dr, Castle Rock, CO, 80109-8690
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538921259
Provider Name
Jackson Alexander Petrauskas
Credential
Provider Entity Type
Individual
Gender
Male
Address
4837 Rocky Mountain Dr, Castle Rock, CO, 80109-8690
Phone Number
720-300-2271
Fax Number
Provider Enumeration Date
01/29/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4837 Rocky Mountain Dr
City
Castle Rock
State
Colorado
Zip
80109-8690
Phone Number
720-300-2271
Fax Number
person
Provider Business Mailing Address Details
Address
4837 Rocky Mountain Dr
City
Castle Rock
State
Colorado
Zip
80109-8690
Phone Number
720-300-2271
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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