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1043512916
CANDACE M OLGUIN
PUEBLO, CO
NPI
1043512916
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
(Licence: CO 12570)
Enumeration Date
2010-11-29
Last Update Date
2010-11-29
Business Address
Ms. CANDACE M OLGUIN BS
2039 E 10TH ST
PUEBLO, CO 81001-3421
Phone number: 719-250-9984
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Mailing Address
Ms. CANDACE M OLGUIN BS
3470 BALTIMORE AVE
PUEBLO, CO 81008-1520
Phone number: 719-561-9850
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