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1336439033
ELIOT EZRA BRUCE COHEN
BOULDER, CO
NPI
1336439033
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2011-04-14
Last Update Date
2011-04-14
Business Address
MR. ELIOT EZRA BRUCE COHEN
1333 IRIS AVE
BOULDER, CO 80304-2226
Phone number: 303-443-8500
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Mailing Address
MR. ELIOT EZRA BRUCE COHEN
1333 IRIS AVE
BOULDER, CO 80304-2226
Phone number: 303-440-4842
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