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1891753497
CRAIG LELLAND LASTINE
GRAND JUNCTION, CO
NPI
1891753497
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: CO DR.0044010)
Enumeration Date
2006-05-03
Last Update Date
2015-12-04
Business Address
-- CRAIG LELLAND LASTINE MD
2021 N 12TH ST
GRAND JUNCTION, CO 81501-2980
Phone number: 970-242-0920
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Mailing Address
-- CRAIG LELLAND LASTINE MD
PO BOX 308
MONTROSE, CO 81402-0308
Phone number: 970-497-8416
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