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Individual

TONIA LYNN HANNAMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DA

Contact information

Practice address
2121 NORTH AVE, GRAND JUNCTION, CO 81501-6428
(970) 263-2800
Mailing address
728 35 8/10 RD, PALISADE, CO 81526-9745
(970) 462-1100

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary

Other

Enumeration date
08/30/2012
Last updated
08/30/2012
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