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1346399003
LUZ IMELDA BARRON DE LICON
WHEAT RIDGE, CO
NPI
1346399003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: CO 8995)
Enumeration Date
2007-01-10
Last Update Date
2007-07-08
Business Address
MRS. LUZ IMELDA BARRON DE LICON
3675 CHASE ST
WHEAT RIDGE, CO 80212-7091
Phone number: 303-200-9656
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Mailing Address
MRS. LUZ IMELDA BARRON DE LICON
3675 CHASE ST
WHEAT RIDGE, CO 80212-7091
Phone number: 303-200-9656
Copy
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