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1346880556
MIRA CANTRICK
BOULDER, CO
NPI
1346880556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CO 0015460)
Enumeration Date
2020-01-15
Last Update Date
2020-01-15
Business Address
MIRA CANTRICK
3005 47TH ST STE F1
BOULDER, CO 80301-5550
Phone number: 303-819-0185
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Mailing Address
MIRA CANTRICK
8441 PARKLAND ST # 7-203
BROOMFIELD, CO 80021-4182
Phone number: 303-819-0185
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