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Individual

GEROGE DANIEL MORIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN,CMT

Contact information

Practice address
3938 JFK PKWY UNIT 11F, FORT COLLINS, CO 80525-3087
(970) 204-0516
(970) 204-0516
Mailing address
PO BOX 271275, FORT COLLINS, CO 80527-1275
(970) 204-0516
(970) 204-6812

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
117897
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
117897
MEDICAL MASSAGE THERAPY
CO
Enumeration date
12/13/2010
Last updated
12/13/2010
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