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1821287103
BELLA J. VIGIL
PUEBLO, CO
NPI
1821287103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
(Licence: CO 6240)
Enumeration Date
2007-10-23
Last Update Date
2007-10-23
Business Address
Ms. BELLA J. VIGIL BA, CACIII
3470 BALTIMORE AVE
PUEBLO, CO 81008-1520
Phone number: 719-545-1181
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Mailing Address
Ms. BELLA J. VIGIL BA, CACIII
3470 BALTIMORE AVE
PUEBLO, CO 81008-1520
Phone number: 719-545-1181
Copy
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