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1053776658
CARL J BAUER
COLORADO SPRINGS, CO
NPI
1053776658
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO ACC.0001070)
Enumeration Date
2015-12-23
Last Update Date
2015-12-23
Business Address
-- CARL J BAUER CACIII
115 S PARKSIDE DR
COLORADO SPRINGS, CO 80910-3130
Phone number: 719-572-6100
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Mailing Address
-- CARL J BAUER CACIII
220 RUSKIN DR
COLORADO SPRINGS, CO 80910-2522
Phone number: 719-572-6100
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