Individual
MRS. LORRAINE KAY JUBIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1630 FORTINO BLVD, PUEBLO, CO 81008-1856
(719) 545-2468
(719) 545-0815
Mailing address
279 S SIFFORD CT, PUEBLO WEST, CO 81007-2843
(719) 547-0505
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2203
CO
Other
Enumeration date
01/31/2010
Last updated
01/31/2010
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