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Individual

MISS LAURA BEACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2004 N 12TH ST, GRAND JUNCTION, CO 81501-2982
(970) 256-6378
Mailing address
385 E VALLEY CIR, UNIT B, GRAND JUNCTION, CO 81507-2683
(814) 494-3660

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
03/26/2015
Last updated
03/26/2015
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