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Individual
SEAN PRIMLEY
Active
Individual
SEAN PRIMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
57605-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
TL-2099
CO
Other
Enumeration date
01/26/2007
Last updated
09/14/2020
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