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1881182830
MANUEL ROMAN MARTINEZ
PUEBLO, CO
NPI
1881182830
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO 0007634)
Enumeration Date
2018-04-25
Last Update Date
2018-04-25
Business Address
MANUEL ROMAN MARTINEZ CAC 1
720 N MAIN ST STE 240
PUEBLO, CO 81003-3046
Phone number: 719-569-7909
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Mailing Address
MANUEL ROMAN MARTINEZ CAC 1
1611 GLENWOOD LN
PUEBLO, CO 81005-2213
Phone number: 719-248-9629
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