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1710383153
PATRICIA LYNNE WILSON
CORTEZ, CO
NPI
1710383153
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO ACC.0007114)
Enumeration Date
2014-11-12
Last Update Date
2014-11-12
Business Address
-- PATRICIA LYNNE WILSON
691 E EMPIRE ST
CORTEZ, CO 81321-2802
Phone number: 970-565-7946
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Mailing Address
-- PATRICIA LYNNE WILSON
691 E EMPIRE ST
CORTEZ, CO 81321-2802
Phone number: 970-565-7946
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