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Individual

GAIL DOWNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
2322 SAN JUAN AVE, LA JUNTA, CO 81050-3341
(719) 383-3939
Mailing address
2322 SAN JUAN AVE, LA JUNTA, CO 81050-3341

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
200966
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
87459078
CO
Enumeration date
06/12/2008
Last updated
06/12/2008
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