LORIELLE M JACK

DURANGO, CO
NPI1235594169
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: CO  DH002024003)
Enumeration Date2015-12-18
Last Update Date2020-01-02
Business Address
LORIELLE M JACK
2530 COLORADO AVE UNIT 1A
DURANGO, CO 81301-4761
Phone number: 970-335-2442
Mailing Address
LORIELLE M JACK
185 SUTTLE ST
DURANGO, CO 81303-8276
Phone number: 970-335-2232
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