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1104044890
KELLY PATRICK ROSE
BOULDER, CO
NPI
1104044890
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-04-20
Last Update Date
2007-07-08
Business Address
Mr. KELLY PATRICK ROSE
1333 IRIS AVE
BOULDER, CO 80304-2226
Phone number: 303-413-6233
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Mailing Address
Mr. KELLY PATRICK ROSE
960 LARAMIE BLVD UNIT H
BOULDER, CO 80304-4782
Phone number: 303-246-0487
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