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1124497268
DANIEL LITTLE
BOULDER, CO
NPI
1124497268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
2015-09-18
Last Update Date
2015-09-18
Business Address
-- DANIEL LITTLE
3764 SILVERTON STREET
BOULDER, CO 80301
Phone number: 757-342-2375
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Mailing Address
-- DANIEL LITTLE
670 TOWN CENTER DR UNIT 416
NEWPORT NEWS, VA 23606-4474
Phone number:
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