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Individual

HILDA MARIE WARDLAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MT.0024053

Contact information

Practice address
634 MAIN ST STE 2, GRAND JUNCTION, CO 81501-2773
(970) 314-2455
Mailing address
634 MAIN ST STE 2, GRAND JUNCTION, CO 81501-2773
(970) 314-2455

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0024053
CO

Other

Enumeration date
11/15/2023
Last updated
11/15/2023
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