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1225144173
CLIFFORD KEVIN WANEBO
GRAND JUNCTION, CO
NPI
1225144173
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208800000X Urology
(Licence: CO 14570)
Enumeration Date
2006-08-22
Last Update Date
2007-07-08
Business Address
-- CLIFFORD KEVIN WANEBO M.D.
810 MAZATLAN DR
GRAND JUNCTION, CO 81506-1773
Phone number: 970-243-8946
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Mailing Address
-- CLIFFORD KEVIN WANEBO M.D.
810 MAZATLAN DR
GRAND JUNCTION, CO 81506-1773
Phone number: 970-243-8946
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