Individual
MISS SHERRY LEA DUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3150 N WINDING BROOK RD, FLAGSTAFF, AZ 86001-0972
(928) 255-4718
Mailing address
711 N DIABASE WAY, FLAGSTAFF, AZ 86001-3348
(928) 300-6294
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
D04796676
AZ
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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