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1609373893
BENETTA CRUZ
PUEBLO, CO
NPI
1609373893
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO ACB-0007944)
Enumeration Date
2018-04-12
Last Update Date
2018-04-12
Business Address
BENETTA CRUZ CAC II
509 E 13TH ST
PUEBLO, CO 81001-2940
Phone number: 719-546-6666
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Mailing Address
BENETTA CRUZ CAC II
95 BAYLOR ST
PUEBLO, CO 81005-1637
Phone number:
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