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1760846224
DEIDRE L TYGART
AURORA, CO
NPI
1760846224
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO ACC 0006214)
Enumeration Date
2016-04-11
Last Update Date
2016-04-11
Business Address
-- DEIDRE L TYGART CAC III
14311 E 4TH AVE
AURORA, CO 80011-8703
Phone number: 303-513-9252
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Mailing Address
-- DEIDRE L TYGART CAC III
7251 E 49TH AVE
COMMERCE CITY, CO 80022-4714
Phone number: 303-321-2533
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