MICKI STAFKO-DOUGLASS

CRAIG, CO
NPI1609239714
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: CO  dh.002023726)
Enumeration Date2016-04-05
Last Update Date2016-04-05
Business Address
-- MICKI STAFKO-DOUGLASS RDH
745 RUSSELL ST
CRAIG, CO 81625-2019
Phone number: 970-824-8233
Mailing Address
-- MICKI STAFKO-DOUGLASS RDH
745 RUSSELL ST
CRAIG, CO 81625-2019
Phone number: 970-824-8233
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