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Individual

TOM CLINKENBEARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2591 ELDORADO SPRINGS DR, LOVELAND, CO 80538-5321
(970) 391-6838
Mailing address
2591 ELDORADO SPRINGS DR, LOVELAND, CO 80538-5321

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
77279263
CO
Enumeration date
11/09/2015
Last updated
12/18/2015
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