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1538635982
CASEY RYKO JESTROVICH
GRAND JUNCTION, CO
NPI
1538635982
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
(Licence: CO 99-187-0511)
Enumeration Date
2018-10-23
Last Update Date
2018-10-23
Business Address
CASEY RYKO JESTROVICH CNIM, R. EEG T
2318 HALL AVE
GRAND JUNCTION, CO 81501-6234
Phone number: 303-886-6641
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Mailing Address
CASEY RYKO JESTROVICH CNIM, R. EEG T
2318 HALL AVE
GRAND JUNCTION, CO 81501-6234
Phone number: 303-886-6641
Copy
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