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1053413245
JEAN BULLOCK COLE
PARKER, CO
NPI
1053413245
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2006-09-01
Last Update Date
2007-07-08
Business Address
-- JEAN BULLOCK COLE
9395 CROWN CREST BLVD
PARKER, CO 80138
Phone number: 303-269-4590
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Mailing Address
-- JEAN BULLOCK COLE
DEPT 1762
DENVER, CO 80291-1762
Phone number: 303-486-5504
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