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1538674502
JUSTIN OTTESON
THORNTON, CO
NPI
1538674502
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-12-12
Last Update Date
2017-12-12
Business Address
JUSTIN OTTESON
8801 LIPAN ST
THORNTON, CO 80260-4912
Phone number: 303-412-3622
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Mailing Address
JUSTIN OTTESON
1481 W 106TH AVE
NORTHGLENN, CO 80234-3716
Phone number:
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