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1598112112
JIMMY DE HERRERA
LONGMONT, CO
NPI
1598112112
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO ACB.0007468)
Enumeration Date
2016-05-24
Last Update Date
2025-01-06
Business Address
Mr. JIMMY DE HERRERA C.A.S. II
24 9TH AVE
LONGMONT, CO 80501-4575
Phone number: 303-772-3853
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Mailing Address
Mr. JIMMY DE HERRERA C.A.S. II
PO BOX 912
KERSEY, CO 80644-0912
Phone number: 303-772-3853
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