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1740488550
LANCE I MARTIN
DURANGO, CO
NPI
1740488550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-07-03
Last Update Date
2007-07-08
Business Address
-- LANCE I MARTIN MS
281 SAWYER DR SUITE 100
DURANGO, CO 81303-3409
Phone number: 970-259-2162
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Mailing Address
-- LANCE I MARTIN MS
281 SAWYER DR SUITE 100
DURANGO, CO 81303-3409
Phone number: 970-259-2162
Copy
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