Individual
MS. RANDI MARIE DENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
489 FORTY NINER DR, FRUITA, CO 81521-2078
(970) 216-9305
Mailing address
489 FORTY NINER DR, FRUITA, CO 81521-2078
(970) 216-9305
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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