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1598172603
JULIAN J JACOBS
FORT COLLINS, CO
NPI
1598172603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO ACC.0001121)
Enumeration Date
2014-07-21
Last Update Date
2014-07-21
Business Address
-- JULIAN J JACOBS CAC III
525 W OAK ST
FORT COLLINS, CO 80521-2612
Phone number: 970-494-4300
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Mailing Address
-- JULIAN J JACOBS CAC III
125 CRESTRIDGE ST
FORT COLLINS, CO 80525-3934
Phone number: 970-494-9761
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