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1427081397
MICHAEL D. DUFAUCHARD
PUEBLO, CO
NPI
1427081397
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225800000X Recreation Therapist
(Licence: 38299)
Enumeration Date
2006-07-07
Last Update Date
2007-07-08
Business Address
-- MICHAEL D. DUFAUCHARD CTRS
1600 W 24TH ST
PUEBLO, CO 81003-1411
Phone number: 719-546-4736
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Mailing Address
-- MICHAEL D. DUFAUCHARD CTRS
1600 W 24TH ST
PUEBLO, CO 81003-1411
Phone number: 719-546-4736
Copy
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