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1326461138
DAVID JEROME WHITMORE
THORNTON, CO
NPI
1326461138
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO 11676)
Enumeration Date
2014-01-29
Last Update Date
2014-01-29
Business Address
-- DAVID JEROME WHITMORE
8801 LIPAN ST
THORNTON, CO 80260-4912
Phone number: 303-412-3960
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Mailing Address
-- DAVID JEROME WHITMORE
8801 LIPAN ST
THORNTON, CO 80260-4912
Phone number: 303-412-3960
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