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1659908127
HEATH ELLIS
BOULDER, CO
NPI
1659908127
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-03-25
Last Update Date
2020-03-25
Business Address
HEATH ELLIS
1501 YARMOUTH AVE
BOULDER, CO 80304-0564
Phone number: 303-522-2119
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Mailing Address
HEATH ELLIS
1501 YARMOUTH AVE
BOULDER, CO 80304-0564
Phone number: 303-522-2119
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