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1851862155
JOSE SOTO
LA JUNTA, CO
NPI
1851862155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-12-11
Last Update Date
2018-12-11
Business Address
JOSE SOTO
711 BARNES AVE
LA JUNTA, CO 81050-2138
Phone number: 800-511-5446
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Mailing Address
JOSE SOTO
711 BARNES AVE
LA JUNTA, CO 81050-2138
Phone number: 800-511-5446
Copy
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