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1043724693
COREY TAIT EASTHAM SOURS
GRAND JUNCTION, CO
NPI
1043724693
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: CO 510729)
Enumeration Date
2017-11-17
Last Update Date
2017-11-17
Business Address
COREY TAIT EASTHAM SOURS R.T. (R)(CT)(ARRT)
2121 NORTH AVE
GRAND JUNCTION, CO 81501-6428
Phone number: 970-242-0731
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Mailing Address
COREY TAIT EASTHAM SOURS R.T. (R)(CT)(ARRT)
420 PINTAIL AVE
GRAND JUNCTION, CO 81504-6215
Phone number: 970-623-9293
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