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1205393162
GINA LACRUE
PUEBLO, CO
NPI
1205393162
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-02-27
Last Update Date
2019-02-27
Business Address
GINA LACRUE CAC 1
3500 BALTIMORE AVE
PUEBLO, CO 81008-1543
Phone number: 719-545-1181
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Mailing Address
GINA LACRUE CAC 1
3500 BALTIMORE AVE
PUEBLO, CO 81008-1543
Phone number:
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