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1346983517
ETHAN W SEYMOUR
GRAND JUNCTION, CO
NPI
1346983517
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CO TL000---)
Enumeration Date
2022-04-15
Last Update Date
2022-04-15
Business Address
ETHAN W SEYMOUR DO
2698 PATTERSON RD STE 100
GRAND JUNCTION, CO 81506-8211
Phone number: 978-298-2195
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Mailing Address
ETHAN W SEYMOUR DO
2698 PATTERSON RD STE 100
GRAND JUNCTION, CO 81506-8211
Phone number:
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