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1164755211
DEBORAH K FOUNTAINE
DENVER, CO
NPI
1164755211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO 6380)
Enumeration Date
2009-09-08
Last Update Date
2009-09-08
Business Address
-- DEBORAH K FOUNTAINE ADDC
1155 CHEROKEE ST
DENVER, CO 80204-3632
Phone number: 303-436-3500
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Mailing Address
-- DEBORAH K FOUNTAINE ADDC
777 BANNOCK ST MC 7782
DENVER, CO 80204-4507
Phone number: 303-436-6000
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