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1861729659
TARA SMITH
PUEBLO, CO
NPI
1861729659
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2009-11-16
Last Update Date
2009-11-16
Business Address
Ms. TARA SMITH BS
3470 BALTIMORE AVE
PUEBLO, CO 81008-1520
Phone number: 719-561-9850
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Mailing Address
Ms. TARA SMITH BS
3470 BALTIMORE AVE
PUEBLO, CO 81008-1520
Phone number: 719-561-9850
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