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EHC21 LLC 1811664337

Name: EHC21 LLC Specialty: Health Service Clinic/Center Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Practice Type: Ambulatory Health Care Facilities Classification: Clinic/Center Specialization: Health Service. Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , , License State(s): , , , ,
Practice Location: EHC21 LLC,1751 HOVER ST # 66B4,LONGMONT,CO,805017181,US Mailing Address: EHC21 LLC,1751 HOVER ST # 66B4,LONGMONT,CO,805017181,US
Contact #
Practice location phone #: 4692375075 Practice location fax #: Mailing address Phone #: 4692375075 Mailing Address fax #: Authorized official Name/Telephone #:RYAN, BADON, PBT, CEO 8662539266
Date NPI was obtained: 08/23/2021 Last data data was updated: 08/23/2021 Insurances:

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