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1770841686
JONATHAN PAUL DECARLO
DENVER, CO
NPI
1770841686
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO 7021)
Enumeration Date
2012-04-27
Last Update Date
2012-04-27
Business Address
Mr. JONATHAN PAUL DECARLO CAC III
950 S CHERRY ST SUITE 410
DENVER, CO 80246-2699
Phone number: 720-431-1824
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Mailing Address
Mr. JONATHAN PAUL DECARLO CAC III
950 S CHERRY ST SUITE 410
DENVER, CO 80246-2699
Phone number: 720-431-1824
Copy
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