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1124361779
PATRICIA D LONG
PUEBLO, CO
NPI
1124361779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2013-04-02
Last Update Date
2013-04-02
Business Address
-- PATRICIA D LONG
1310 CHINOOK LN
PUEBLO, CO 81001-1851
Phone number: 719-545-2746
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Mailing Address
-- PATRICIA D LONG
1026 W ABRIENDO AVE
PUEBLO, CO 81004-1128
Phone number: 719-545-2746
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