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1215167663
KRYSTAL VIGIL
PUEBLO, CO
NPI
1215167663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-07-20
Last Update Date
2009-07-20
Business Address
-- KRYSTAL VIGIL
1026 W ABRIENDO AVE
PUEBLO, CO 81004-1128
Phone number: 719-545-2746
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Mailing Address
-- KRYSTAL VIGIL
1302 CHINOOK LN
PUEBLO, CO 81001-1851
Phone number: 719-545-2746
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