GRACE LAKE

GRAND JUNCTION, CO
NPI1124752233
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-07-13
Last Update Date2022-08-19
Business Address
GRACE LAKE
1100 NORTH AVE
GRAND JUNCTION, CO 81501-3122
Phone number: 970-248-1635
Mailing Address
GRACE LAKE
11241 W UTAH PL
LAKEWOOD, CO 80232-6153
Phone number:
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