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1194140442
MICHAEL SHANE PATTON
GREELEY, CO
NPI
1194140442
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO ACB.0007452)
Enumeration Date
2014-02-24
Last Update Date
2014-02-24
Business Address
-- MICHAEL SHANE PATTON CAC II
1309 10TH AVE
GREELEY, CO 80631-3832
Phone number: 970-347-2120
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Mailing Address
-- MICHAEL SHANE PATTON CAC II
1300 N 17TH AVE
GREELEY, CO 80631-9584
Phone number: 970-347-2120
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