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Individual

JASON RILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
C.P.

Contact information

Practice address
1446 HOVER ST, LONGMONT, CO 80501-2485
(720) 652-0100
(720) 652-0202
Mailing address
1446 HOVER ST, LONGMONT, CO 80501-2485
(720) 652-0100
(720) 652-0202

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
20-4846654
CO

Other

Enumeration date
07/07/2016
Last updated
07/07/2016
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