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1164932018
JYNELLE SHANTE MARTIN
WHEAT RIDGE, CO
NPI
1164932018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO NLC.0107484)
Enumeration Date
2017-10-05
Last Update Date
2022-07-21
Business Address
JYNELLE SHANTE MARTIN
4851 INDEPENDENCE ST STE 200
WHEAT RIDGE, CO 80033-6712
Phone number: 303-425-0300
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Mailing Address
JYNELLE SHANTE MARTIN
4851 INDEPENDENCE ST STE 200
WHEAT RIDGE, CO 80033-6712
Phone number: 303-425-0300
Copy
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