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1619308350
GREG CARBAJAL
PUEBLO, CO
NPI
1619308350
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2013-12-05
Last Update Date
2013-12-05
Business Address
-- GREG CARBAJAL MSW
1625 GAYLORD AVE
PUEBLO, CO 81004-2660
Phone number: 719-821-7274
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Mailing Address
-- GREG CARBAJAL MSW
509 E. 13TH STREET
PUEBLO, CO 81001
Phone number: 719-546-6666
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