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1831559806
JUSTIN ENSINGER
CANON CITY, CO
NPI
1831559806
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-03-03
Last Update Date
2016-03-03
Business Address
-- JUSTIN ENSINGER
700 FOUR MILE PARKWAY
CANON CITY, CO 81212
Phone number: 719-276-7588
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Mailing Address
-- JUSTIN ENSINGER
700 FOUR MILE PARKWAY
CANON CITY, CO 81212
Phone number: 719-276-7588
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