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1568971125
MICHAEL SPRAGUE
GRAND JUNCTION, CO
NPI
1568971125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO ACD0000741)
Enumeration Date
2017-09-27
Last Update Date
2022-07-21
Business Address
MICHAEL SPRAGUE LAC
1001 WELLINGTON AVENUE
GRAND JUNCTION, CO 81501
Phone number: 970-208-1130
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Mailing Address
MICHAEL SPRAGUE LAC
1001 WELLINGTON AVE
GRAND JUNCTION, CO 81501-8122
Phone number: 970-208-1130
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