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1003199266
MELISSA MAHAN HALL
PUEBLO, CO
NPI
1003199266
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-09-23
Last Update Date
2011-09-23
Business Address
-- MELISSA MAHAN HALL
1026 W ABRIENDO AVE
PUEBLO, CO 81004-1128
Phone number: 719-545-2746
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Mailing Address
-- MELISSA MAHAN HALL
1304 CHINOOK LN
PUEBLO, CO 81001-1851
Phone number: 719-545-2746
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