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1770819393
JOHN RYAN VIALPANDO
PUEBLO, CO
NPI
1770819393
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
(Licence: CO 84 0810723)
Enumeration Date
2009-11-02
Last Update Date
2009-11-02
Business Address
Mr. JOHN RYAN VIALPANDO BS
3470 BALTIMORE AVE
PUEBLO, CO 81008-1520
Phone number: 719-561-9850
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Mailing Address
Mr. JOHN RYAN VIALPANDO BS
3470 BALTIMORE AVE
PUEBLO, CO 81008-1520
Phone number: 719-561-9850
Copy
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