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1154671725
MITCHELL MORRISON VANCE
LA JUNTA, CO
NPI
1154671725
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-09-11
Last Update Date
2015-07-15
Business Address
-- MITCHELL MORRISON VANCE B.A.
711 BARNES AVE
LA JUNTA, CO 81050-2138
Phone number: 719-384-5446
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Mailing Address
-- MITCHELL MORRISON VANCE B.A.
711 BARNES AVE
LA JUNTA, CO 81050-2138
Phone number: 719-384-5446
Copy
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