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1912561317
PHILLIP EGAN
FORT COLLINS, CO
NPI
1912561317
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CO SLP.0001535)
Enumeration Date
2019-05-01
Last Update Date
2019-05-01
Business Address
PHILLIP EGAN
815 CENTRE AVE
FORT COLLINS, CO 80526-1844
Phone number: 970-494-2140
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Mailing Address
PHILLIP EGAN
815 CENTRE AVE
FORT COLLINS, CO 80526-1844
Phone number: 970-494-2140
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