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1245448117
LISA BLANK
GREELEY, CO
NPI
1245448117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: CO 1496)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
Dr. LISA BLANK Ph.D.
1024 8TH ST
GREELEY, CO 80631-1101
Phone number: 970-330-7696
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Mailing Address
Dr. LISA BLANK Ph.D.
1024 8TH ST
GREELEY, CO 80631-1101
Phone number: 970-330-7696
Copy
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