EUGENE MEDINA

THORNTON, CO
NPI1710239108
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CO  5559)
Enumeration Date2012-10-09
Last Update Date2012-10-09
Business Address
EUGENE MEDINA CACIII
8801 LIPAN ST
THORNTON, CO 80260-4912
Phone number: 303-657-3700
Mailing Address
EUGENE MEDINA CACIII
8801 LIPAN ST
THORNTON, CO 80260-4912
Phone number: 303-657-3700
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