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1215670054
SAMUEL ROBERT RAINE
AURORA, CO
NPI
1215670054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-19
Last Update Date
2022-04-19
Business Address
Dr. SAMUEL ROBERT RAINE MD
12631 E 17TH AVE RM 4007
AURORA, CO 80045-2527
Phone number: 303-724-2052
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Mailing Address
Dr. SAMUEL ROBERT RAINE MD
12631 E 17TH AVE RM 4007
AURORA, CO 80045-2527
Phone number: 303-724-2052
Copy
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