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1114139888
JONATHAN MICHAEL MCCLINTOCK
COLORADO SPRINGS, CO
NPI
1114139888
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
(Licence: CO 412)
Enumeration Date
2007-05-04
Last Update Date
2007-07-08
Business Address
-- JONATHAN MICHAEL MCCLINTOCK CNIM
5390 N ACADEMY BLVD
COLORADO SPRINGS, CO 80918-4062
Phone number: 719-596-6110
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Mailing Address
-- JONATHAN MICHAEL MCCLINTOCK CNIM
5671 OLD RIVER DR
COLORADO SPRINGS, CO 80920-8129
Phone number: 719-650-8025
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