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1518123272
ROBERT LONG
PUEBLO, CO
NPI
1518123272
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-08-01
Last Update Date
2008-08-01
Business Address
-- ROBERT LONG
1026 W ABRIENDO AVE
PUEBLO, CO 81004-1128
Phone number: 719-562-3222
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Mailing Address
-- ROBERT LONG
525 W 9TH ST
PUEBLO, CO 81003-2917
Phone number: 719-562-3222
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