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1558196204
JORDAN SPARROW-ANTONIO
BOULDER, CO
NPI
1558196204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-09-03
Last Update Date
2024-09-03
Business Address
JORDAN SPARROW-ANTONIO MS
3470 BROADWAY ST
BOULDER, CO 80304-1824
Phone number: 303-443-8500
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Mailing Address
JORDAN SPARROW-ANTONIO MS
1455 DIXON AVE
LAFAYETTE, CO 80026-8879
Phone number: 303-443-8500
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