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1588039945
SUSAN KANEMASU
LONGMONT, CO
NPI
1588039945
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CO ACC0020836)
Enumeration Date
2015-12-09
Last Update Date
2015-12-09
Business Address
SUSAN KANEMASU CACIII
850 23RD AVE UNIT A
LONGMONT, CO 80501-1114
Phone number: 303-245-0123
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Mailing Address
SUSAN KANEMASU CACIII
912 W MOUNTAIN AVE
FORT COLLINS, CO 80521-2510
Phone number: 303-968-4084
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