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1083248017
SHERRY LANE
PAGOSA SPRINGS, CO
NPI
1083248017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: CO 2078)
Enumeration Date
2020-02-28
Last Update Date
2020-02-28
Business Address
SHERRY LANE RDH
2035 EAGLE DR UNIT 110
PAGOSA SPRINGS, CO 81147-9013
Phone number: 970-731-3393
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Mailing Address
SHERRY LANE RDH
126 BUTTE DR
PAGOSA SPRINGS, CO 81147-9142
Phone number: 970-731-3393
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