MRS. Dorothy Mongan

NPI #1245521137 in Eaton, Colorado

Provider Information

NPI Number: 1245521137
Entity Type: Individual
Name: MRS. Dorothy Mongan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Apr 26, 2011
Last Updated: Apr 26, 2011

Practice Location

Address: 123 ELM AVE
City: Eaton
State: Colorado
ZIP Code: 80615-3425
Phone: (970) 454-2224

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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