BISEIDA DUQUE

ALAMOSA, CO
NPI1790081552
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CO  7112)
Enumeration Date2011-01-26
Last Update Date2011-01-26
Business Address
BISEIDA DUQUE CACII
2265 LAVA LN
ALAMOSA, CO 81101-3578
Phone number: 719-589-5176
Mailing Address
BISEIDA DUQUE CACII
2265 LAVA LN
ALAMOSA, CO 81101-3578
Phone number: 719-589-5176
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