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Individual

MR. ROBERT LEE CLAYBORN SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CO

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CO003671
MS

Other

Enumeration date
09/28/2006
Last updated
06/16/2011
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