MRS. Jean M Condon, D.T.

NPI #1699810119 in Grundy, Virginia

Provider Information

NPI Number: 1699810119
Entity Type: Individual
Name: MRS. Jean M Condon, D.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: D.T.
Enumeration Date: Feb 21, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: RR 5 BOX 126H
City: Grundy
State: Virginia
ZIP Code: 24614-9508
Phone: (276) 935-2651

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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