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1548630700
JEFFREY KETCHAM
COLORADO SPRINGS, CO
NPI
1548630700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC MD15412)
Enumeration Date
2015-09-30
Last Update Date
2015-09-30
Business Address
-- JEFFREY KETCHAM M.D.
12753 MISSION MEADOW DR
COLORADO SPRINGS, CO 80921-7659
Phone number: 831-333-6159
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Mailing Address
-- JEFFREY KETCHAM M.D.
12753 MISSION MEADOW DR
COLORADO SPRINGS, CO 80921-7659
Phone number: 831-333-6159
Copy
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