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1366784878
PHILIPP PONOMAREV
LITTLETON, CO
NPI
1366784878
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-03-22
Last Update Date
2013-03-22
Business Address
-- PHILIPP PONOMAREV BA, MHT/C
6507 S SANTA FE DR
LITTLETON, CO 80120-2910
Phone number: 303-730-0797
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Mailing Address
-- PHILIPP PONOMAREV BA, MHT/C
18954 E MERCER DR
AURORA, CO 80013-3670
Phone number: 720-328-9397
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