Colorado
Division of Professions and Occupations
Amanda Fraser Wallace
Medical - Physician
License number
52096
Date granted
02/11/2013
Date expires
04/30/2015
Class
Medical - Physician
Status
Active
Address
7476 E 10th Ave, Denver, CO, 80230-0230
coloradolicensing.org
ID 27429077
LAST UPDATED 2024-03-02 10:58:09 UTC
LAST UPDATED 2024-03-02 10:58:09 UTC
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