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1740741339
COLBY LANE MORTENSEN
LAFAYETTE, CO
NPI
1740741339
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-03-27
Last Update Date
2022-02-14
Business Address
COLBY LANE MORTENSEN
1455 DIXON AVE
LAFAYETTE, CO 80026-8879
Phone number: 303-443-8500
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Mailing Address
COLBY LANE MORTENSEN
1455 DIXON AVE
LAFAYETTE, CO 80026-8879
Phone number:
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