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1508425273
FOUR CORNERS KETAMINE CENTER INC
DURANGO, CO
NPI
1508425273
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Entity Type
Organization
Authorized Contact
DANIEL CAPLIN
President/Owner
970-828-3030
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2019-06-06
Last Update Date
2019-06-06
Business Address
FOUR CORNERS KETAMINE CENTER INC
72 SUTTLE ST UNIT M
DURANGO, CO 81303-6829
Phone number: 970-828-3030
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Mailing Address
FOUR CORNERS KETAMINE CENTER INC
72 SUTTLE ST UNIT M
DURANGO, CO 81303-6829
Phone number: 970-828-3030
Copy
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