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Individual

COLTON MOWERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1653 W CONGRESS PKWY # 12, CHICAGO, IL 60612-3833
(312) 942-7100
Mailing address
2403 W LEXINGTON ST APT 3, CHICAGO, IL 60612-3682
(507) 402-8740

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/29/2024
Last updated
04/29/2024
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