Individual
MR. JASON BRABSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 E SWALLOW RD, FORT COLLINS, CO 80525-2540
(970) 690-3338
Mailing address
200 E SWALLOW RD, FORT COLLINS, CO 80525-2540
(970) 690-3338
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
MTC-00001
CO
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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