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1144438847
RAYNETTA JEAN BURNS
PUEBLO, CO
NPI
1144438847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO 2141)
Enumeration Date
2007-05-18
Last Update Date
2007-07-08
Business Address
Ms. RAYNETTA JEAN BURNS MA, CAC III
509 E 13TH ST
PUEBLO, CO 81001-2940
Phone number: 719-546-6666
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Mailing Address
Ms. RAYNETTA JEAN BURNS MA, CAC III
2627 N GRAND AVE
PUEBLO, CO 81003-2451
Phone number: 719-545-9511
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