SHASTA MARIE KELLERBY

RIFLE, CO
NPI1417228404
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: CO  904683)
Enumeration Date2012-01-23
Last Update Date2012-01-23
Business Address
Mrs. SHASTA MARIE KELLERBY RDH
195 W 14TH
RIFLE, CO 81650-4700
Phone number: 970-625-5200
Mailing Address
Mrs. SHASTA MARIE KELLERBY RDH
2937 BROOK VIEW CT
GRAND JUNCTION, CO 81503-4808
Phone number: 970-260-6144
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