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1316243025
MICHAEL GENE VALDEZ
PUEBLO, CO
NPI
1316243025
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO 7320)
Enumeration Date
2011-01-28
Last Update Date
2011-01-28
Business Address
Mr. MICHAEL GENE VALDEZ BS, CAC II
3500 BALTIMORE AVE
PUEBLO, CO 81008-1543
Phone number: 719-545-1181
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Mailing Address
Mr. MICHAEL GENE VALDEZ BS, CAC II
3500 BALTIMORE AVE
PUEBLO, CO 81008-1543
Phone number: 719-545-1181
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