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Individual

SAM HEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3291 LOMBARDY LN, CLIFTON, CO 81520-7717
(970) 434-3888
Mailing address
207 RIVER RIDGE DR, GRAND JUNCTION, CO 81503-3421
(970) 210-0292

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
23G929
CO

Other

Enumeration date
11/19/2015
Last updated
11/19/2015
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