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Organization
FOUR CORNERS KETAMINE CENTER INC
Active
Organization
FOUR CORNERS KETAMINE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL CAPLIN DO (PRESIDENT/OWNER)
(970) 828-3030
Entity
Organization
Contact information
Practice address
72 SUTTLE ST UNIT M, DURANGO, CO 81303-6829
(970) 828-3030
(970) 247-0221
Mailing address
72 SUTTLE ST UNIT M, DURANGO, CO 81303-6829
(970) 828-3030
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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