DEAN EARL

PUEBLO, CO
NPI1831495621
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO  6880)
Enumeration Date2011-01-27
Last Update Date2011-01-27
Business Address
Mr. DEAN EARL CAC II
509 E 13TH ST
PUEBLO, CO 81001-2940
Phone number: 719-546-6666
Mailing Address
Mr. DEAN EARL CAC II
509 E 13TH ST
PUEBLO, CO 81001-2940
Phone number: 719-546-6666
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