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Individual

MRS. TERRILL J KING-HAMM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
652 TERRACE DR, GRAND JUNCTION, CO 81503-8723
(970) 261-6535
Mailing address
652 TERRACE DRIVE, GRAND JUNCTION, CO 81503
(970) 261-6535

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
904083
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NOT SURE
CO
Enumeration date
04/13/2007
Last updated
07/09/2007
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