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1740487594
GEOVANA COLOSIO
YUMA, AZ
NPI
1740487594
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LISAC-11460)
Enumeration Date
2007-06-27
Last Update Date
2007-07-08
Business Address
Mrs. GEOVANA COLOSIO LISAC
1020 S 4TH AVE SUITE C
YUMA, AZ 85364-3859
Phone number: 928-343-9825
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Mailing Address
Mrs. GEOVANA COLOSIO LISAC
1842 S 17TH AVE
YUMA, AZ 85364-5354
Phone number: 928-782-6455
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