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1215054218
LA LUNA CENTER, LLC
BOULDER, CO
NPI
1215054218
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Entity Type
Organization
Authorized Contact
WILLIAM CRISCO
Business Manager
720-470-0010
Organization Subpart ?
No
Primary Taxonomy
103TP2701X Psychologist, Group Psychotherapy
Enumeration Date
2007-03-23
Last Update Date
2020-12-17
Business Address
LA LUNA CENTER, LLC
3002 BLUFF ST SUITE 200
BOULDER, CO 80301-2162
Phone number: 720-470-0010
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Mailing Address
LA LUNA CENTER, LLC
3002 BLUFF ST SUITE 200
BOULDER, CO 80301-2162
Phone number: 720-470-0010
Copy
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