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Individual

JENNIFER DAWN ROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MT

Contact information

Practice address
560 29 1/2 RD APT 206, GRAND JUNCTION, CO 81504-3904
(970) 773-0110
Mailing address
560 29 1/2 RD APT 206, GRAND JUNCTION, CO 81504-3904
(970) 773-0110

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0014388
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000157063-10
CO
Enumeration date
11/12/2014
Last updated
11/12/2014
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