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1043608771
BLAKE BAILY
BOULDER, CO
NPI
1043608771
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CO 4139)
Enumeration Date
2015-01-05
Last Update Date
2015-01-05
Business Address
-- BLAKE BAILY
1860 REDWOOD AVE
BOULDER, CO 80304-1121
Phone number: 303-818-8046
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Mailing Address
-- BLAKE BAILY
1860 REDWOOD AVE
BOULDER, CO 80304-1121
Phone number:
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