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1831976562
MITCHELL ALBERT MESTAS
PUEBLO, CO
NPI
1831976562
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-09-14
Last Update Date
2023-09-14
Business Address
MITCHELL ALBERT MESTAS
28 MACNAUGHTON RD
PUEBLO, CO 81001-1731
Phone number: 719-821-5234
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Mailing Address
MITCHELL ALBERT MESTAS
509 E 13TH ST BLDG 509E13TH
PUEBLO, CO 81001-2940
Phone number: 719-546-6666
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