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1700438744
MARY SEWELL HOMAN
FORT COLLINS, CO
NPI
1700438744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-07-10
Last Update Date
2019-07-10
Business Address
MARY SEWELL HOMAN
1227 RIVERSIDE AVE
FORT COLLINS, CO 80524-3218
Phone number: 970-213-0510
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Mailing Address
MARY SEWELL HOMAN
2220 HAYMAKER LN
FORT COLLINS, CO 80525-4393
Phone number: 970-213-0510
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