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1730545682
LISA L CARLSON
FORT COLLINS, CO
NPI
1730545682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2016-01-07
Last Update Date
2019-07-08
Business Address
LISA L CARLSON
1217 RIVERSIDE AVE
FORT COLLINS, CO 80524-3218
Phone number: 970-494-4200
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Mailing Address
LISA L CARLSON
4856 INNOVATION DR STE B
FORT COLLINS, CO 80525-5540
Phone number: 970-494-4200
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