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1053740571
MINJAE AN
DENVER, CO
NPI
1053740571
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
323P00000X Psychiatric Residential Treatment Facility
Enumeration Date
2013-11-05
Last Update Date
2013-11-05
Business Address
-- MINJAE AN
4500 S MONACO STREET APT.1624
DENVER, CO 80237
Phone number: 585-766-4182
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Mailing Address
-- MINJAE AN
4500 S MONACO ST APT 1624
DENVER, CO 80237-3425
Phone number: 585-766-4182
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