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1275958456
TISZA RUTHERFORD
LOVELAND, CO
NPI
1275958456
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO ACC.0006814)
Enumeration Date
2014-02-25
Last Update Date
2014-02-25
Business Address
-- TISZA RUTHERFORD CAC III
1250 N WILSON AVE
LOVELAND, CO 80537-4461
Phone number: 970-494-9870
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Mailing Address
-- TISZA RUTHERFORD CAC III
125 CRESTRIDGE ST
FORT COLLINS, CO 80525-3934
Phone number: 970-494-9761
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