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MRS. ELIZABETH DAUGHTREY #33 HIS APPRENTICE

>> Hearing Instrument Specialist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1316318199

Individual Registrant:
MRS. ELIZABETH  DAUGHTREY #33 HIS APPRENTICE
Gender: F
Not Sole Proprietor

Location and contact information for practice:
408 W 3RD ST  LA JUNTA, CO 81050-1432 US
Tel: 719-384-3277  Fax: --

Contact information for business:
517 BELMONT AVE  LA JUNTA, CO 81050-2140 US
Tel: 719-468-1013  Fax: --

Registration Information:
NPI: 1316318199
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y237700000XSpeech, Language and Hearing Service Providers
Hearing Instrument Specialist
CO#33

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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