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Ms. Tera Marie Fawkes
Driver in Grand Junction, Colorado
NPI 1538875505

Tera Marie Fawkes is a Driver based in Grand Junction, CO. Tera Marie Fawkes practices in Grand Junction, CO. The NPI Number for Tera Marie Fawkes is 1538875505 and holds a License No. B4404799 (Colorado).

The current practice location address for Tera Marie Fawkes is 488 Bing St, Grand Junction, CO and can be reached out via phone at 970-589-0027.

Location: 488 Bing St, Grand Junction, CO, 81504-6113
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538875505
Provider Name
Tera Marie Fawkes
Credential
Provider Entity Type
Individual
Gender
Female
Address
488 Bing St, Grand Junction, CO, 81504-6113
Phone Number
970-589-0027
Fax Number
Provider Enumeration Date
01/24/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P586842 05 CO
institution
Provider Business Practice Location Address Details
Address
488 Bing St
City
Grand Junction
State
Colorado
Zip
81504-6113
Phone Number
970-589-0027
Fax Number
person
Provider Business Mailing Address Details
Address
488 Bing St
City
Grand Junction
State
Colorado
Zip
81504-6113
Phone Number
970-589-0027
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
B4404799 (California)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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