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1417567421
MICHAEL RODGERS
LONGMONT, CO
NPI
1417567421
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CO ACA0008000)
Enumeration Date
2020-08-04
Last Update Date
2020-08-04
Business Address
MICHAEL RODGERS
3513 CAMDEN DR
LONGMONT, CO 80503-2156
Phone number: 720-629-5301
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Mailing Address
MICHAEL RODGERS
3513 CAMDEN DR
LONGMONT, CO 80503-2156
Phone number: 720-629-5301
Copy
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