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Individual

ALONNA KAYE PACKARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
B.S.

Contact information

Practice address
711 BARNES AVE, LA JUNTA, CO 81050-2138
(719) 384-5446
(719) 384-5672
Mailing address
2408 BELLEVIEW AVE, APT. 2, LA JUNTA, CO 81050-3300
(719) 251-2846

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
02/26/2007
Last updated
07/08/2007
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