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1265026322
SHANE JEFFERY COUNTRYMAN
LOVELAND, CO
NPI
1265026322
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: CO CHR.0008243)
Enumeration Date
2021-03-01
Last Update Date
2021-05-11
Business Address
DR. SHANE JEFFERY COUNTRYMAN DC
4190 N GARFIELD AVE # 2
LOVELAND, CO 80538-2241
Phone number: 972-469-2976
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Mailing Address
DR. SHANE JEFFERY COUNTRYMAN DC
5149 PRUITT DR
THE COLONY, TX 75056-1234
Phone number: 972-469-2976
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