Individual
MARY SEWELL HOMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1227 RIVERSIDE AVE, FORT COLLINS, CO 80524-3218
(970) 213-0510
Mailing address
2220 HAYMAKER LN, FORT COLLINS, CO 80525-4393
(970) 213-0510
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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