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1437555869
ROSE THERESE MARTINEZ
CANON CITY, CO
NPI
1437555869
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO ACC.0007006)
Enumeration Date
2014-11-12
Last Update Date
2014-11-12
Business Address
-- ROSE THERESE MARTINEZ
3225 INDEPENDENCE RD
CANON CITY, CO 81212-9380
Phone number: 719-275-2351
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Mailing Address
-- ROSE THERESE MARTINEZ
3225 INDEPENDENCE RD
CANON CITY, CO 81212-9380
Phone number: 719-275-2351
Copy
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