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1467552059
CHARLES LAVALLE PAGE
FORT COLLINS, CO
NPI
1467552059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CO 1404)
Enumeration Date
2006-09-23
Last Update Date
2016-10-27
Business Address
Dr. CHARLES LAVALLE PAGE Ph.D.
149 W HARVARD ST SUITE 202
FORT COLLINS, CO 80525-2186
Phone number: 970-682-1173
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Mailing Address
Dr. CHARLES LAVALLE PAGE Ph.D.
149 W HARVARD ST SUITE 202
FORT COLLINS, CO 80525-2186
Phone number: 970-682-1173
Copy
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