Individual
BONNIE SUE THRASHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
119 DAYSPRING PL, PAGOSA SPRINGS, CO 81147-9140
(970) 731-3393
Mailing address
PO BOX 5948, PAGOSA SPRINGS, CO 81147-5948
(970) 731-3393
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
902868
CO
Other
Enumeration date
05/21/2009
Last updated
05/21/2009
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