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MR. GARY LEE DAUGHTREY #32 HIS APPRENTICE
>> Hearing Instrument Specialist >> Speech, Language and Hearing Service ProvidersRegistrant NPI Number: 1063883858
Individual Registrant:MR. GARY LEE DAUGHTREY #32 HIS APPRENTICE
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
408 W 3RD ST LA JUNTA, CO 81050-1432 US
Tel: 719-384-3277 Fax: --
Tel: 719-384-3277 Fax: --
Contact information for business:
517 BELMONT AVE LA JUNTA, CO 81050-2140 US
Tel: 719-468-1013 Fax: --
Tel: 719-468-1013 Fax: --
Registration Information:
NPI: 1063883858
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 237700000X | Speech, Language and Hearing Service Providers Hearing Instrument Specialist | CO | #32 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
