Individual
CLAIR L KETCHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1032 LUKE ST, FORT COLLINS, CO 80524-4037
(970) 484-8686
Mailing address
1032 LUKE ST, FORT COLLINS, CO 80524-4037
(970) 484-8686
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
511
CO
Other
Enumeration date
09/22/2008
Last updated
09/22/2008
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