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1053476309
DAVID POPE
PRESCOTT, AZ
NPI
1053476309
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LASAC-15150)
Enumeration Date
2006-12-27
Last Update Date
2016-05-19
Business Address
-- DAVID POPE LASAC
919 12TH PL STE 13
PRESCOTT, AZ 86305-1433
Phone number: 402-619-6419
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Mailing Address
-- DAVID POPE LASAC
919 12TH PL STE 13
PRESCOTT, AZ 86305-1433
Phone number: 402-619-6419
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