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1083079214
LESLIE ALLEN
FRUITA, CO
NPI
1083079214
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: CO PTA.0012295)
Enumeration Date
2015-12-14
Last Update Date
2015-12-14
Business Address
-- LESLIE ALLEN
1925 M RD
FRUITA, CO 81521-9628
Phone number: 970-314-0669
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Mailing Address
-- LESLIE ALLEN
1925 M RD
FRUITA, CO 81521-9628
Phone number:
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