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1164190831
MELITON DURAN
PUEBLO, CO
NPI
1164190831
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO ACC.0021084)
Enumeration Date
2021-08-30
Last Update Date
2021-08-30
Business Address
MELITON DURAN CAS
275 W ABRIENDO AVE
PUEBLO, CO 81004-1870
Phone number: 720-987-7242
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Mailing Address
MELITON DURAN CAS
1411 E ORMAN AVE
PUEBLO, CO 81004-3446
Phone number: 719-568-7815
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