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1093188047
JUAN ULIBARRI
PUEBLO, CO
NPI
1093188047
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO ACB.0007980)
Enumeration Date
2015-11-12
Last Update Date
2015-11-12
Business Address
-- JUAN ULIBARRI CAC II
4 MONTEBELLO RD
PUEBLO, CO 81001-1237
Phone number: 171-954-6667
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Mailing Address
-- JUAN ULIBARRI CAC II
4 MONTEBELLO RD
PUEBLO, CO 81001-1237
Phone number: 171-954-6667
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