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1851678940
JAMES GOWDY
CANON CITY, CO
NPI
1851678940
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO NLC-12793)
Enumeration Date
2011-11-03
Last Update Date
2011-11-03
Business Address
-- JAMES GOWDY
3239 INDEPENDENCE RD
CANON CITY, CO 81212-9380
Phone number: 719-275-7650
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Mailing Address
-- JAMES GOWDY
517 N 11TH ST
CANON CITY, CO 81212-3433
Phone number:
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