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1821253881
LARRY FREEBURN
PUEBLO, CO
NPI
1821253881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-07-18
Last Update Date
2008-07-18
Business Address
-- LARRY FREEBURN
1711 E EVANS AVE
PUEBLO, CO 81004-3349
Phone number: 719-561-9850
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Mailing Address
-- LARRY FREEBURN
1711 E EVANS AVE
PUEBLO, CO 81004-3349
Phone number:
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