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1932477015
TIFFANY OTTOSEN
RIFLE, CO
NPI
1932477015
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: CO 903350)
Enumeration Date
2011-12-05
Last Update Date
2011-12-05
Business Address
TIFFANY OTTOSEN RDH
195 W 14TH
RIFLE, CO 81650-4700
Phone number: 970-625-5200
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Mailing Address
TIFFANY OTTOSEN RDH
2009 ODIN DR
SILT, CO 81652-8776
Phone number:
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