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1174901698
LISA MICKELSON
THORNTON, CO
NPI
1174901698
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2015-05-16
Last Update Date
2015-05-16
Business Address
-- LISA MICKELSON
8931 HURON ST
THORNTON, CO 80260-6806
Phone number: 303-853-3500
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Mailing Address
-- LISA MICKELSON
8931 HURON ST
THORNTON, CO 80260-6806
Phone number: 303-853-3500
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