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1417533886
MAXWELL LEE SUMMERLIN
AURORA, CO
NPI
1417533886
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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
2021-03-24
Last Update Date
2021-03-24
Business Address
MAXWELL LEE SUMMERLIN
13001 E 17TH PL
AURORA, CO 80045-2570
Phone number: 720-777-3846
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Mailing Address
MAXWELL LEE SUMMERLIN
13001 E 17TH PL
AURORA, CO 80045-2570
Phone number:
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