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Individual

MR. JONATHAN SCOTT CANTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CAC II

Contact information

Practice address
2802 ELM AVE, GRAND JUNCTION, CO 81501-4908
(970) 208-3089
Mailing address
1001 WELLINGTON AVE, GRAND JUNCTION, CO 81501-8122
(970) 208-1130
(970) 208-1132

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CO
101Y00000X
Counselor

Other

Enumeration date
08/10/2017
Last updated
08/10/2017
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