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1629608153
TAMARA L LISCO
GRAND JUNCTION, CO
NPI
1629608153
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-01-23
Last Update Date
2020-01-23
Business Address
TAMARA L LISCO CACIII
515 28 3/4 RD
GRAND JUNCTION, CO 81501-5016
Phone number: 970-241-2603
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Mailing Address
TAMARA L LISCO CACIII
515 28 3/4 RD
GRAND JUNCTION, CO 81501-5016
Phone number: 970-241-6023
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