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1750920344
ALEXANDER JEWETT
FORT COLLINS, CO
NPI
1750920344
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO ACD.0002044)
Enumeration Date
2019-12-30
Last Update Date
2024-07-22
Business Address
ALEXANDER JEWETT
4856 INNOVATION DR
FORT COLLINS, CO 80525-5539
Phone number: 970-494-4200
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Mailing Address
ALEXANDER JEWETT
4856 INNOVATION DR
FORT COLLINS, CO 80525-5539
Phone number: 970-494-4200
Copy
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