DANIEL LAKE

CANON CITY, CO
NPI1316307903
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2016-02-25
Last Update Date2016-02-25
Business Address
-- DANIEL LAKE MA
3225 INDEPENDENCE RD
CANON CITY, CO 81212-9380
Phone number: 719-275-2351
Mailing Address
-- DANIEL LAKE MA
3225 INDEPENDENCE RD
CANON CITY, CO 81212-9380
Phone number: 719-275-2351
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