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1104984053
CHARLENE MARIE CHRISTIANSON
LONGMONT, CO
NPI
1104984053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CO 12086516)
Enumeration Date
2006-12-04
Last Update Date
2007-07-09
Business Address
-- CHARLENE MARIE CHRISTIANSON M.S. CCC-SLP
4529 PORTOFINO DR
LONGMONT, CO 80503-4153
Phone number: 303-596-4113
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Mailing Address
-- CHARLENE MARIE CHRISTIANSON M.S. CCC-SLP
4529 PORTOFINO DR
LONGMONT, CO 80503-4153
Phone number: 303-596-4113
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