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1104992296
WIND RIVER PAIN MANAGEMENT, LLC
FORT COLLINS, CO
NPI
1104992296
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Entity Type
Organization
Authorized Contact
JAMES ALAN DERRISAW
CEO
970-420-9904
Organization Subpart ?
No
Primary Taxonomy
261QP3300X Clinic/Center, Pain
(Licence: CO 39525)
Enumeration Date
2006-11-28
Last Update Date
2020-08-22
Business Address
WIND RIVER PAIN MANAGEMENT, LLC
5873 HIGHLAND HILLS CIR
FORT COLLINS, CO 80528-8941
Phone number: 970-420-9904
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Mailing Address
WIND RIVER PAIN MANAGEMENT, LLC
5873 HIGHLAND HILLS CIR
FORT COLLINS, CO 80528-8941
Phone number: 970-420-9904
Copy
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