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1881198034
JOSE O COLON
ROXBURY, MA
NPI
1881198034
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-03-22
Last Update Date
2018-03-22
Business Address
JOSE O COLON
245 EUSTIS ST
ROXBURY, MA 02119-2826
Phone number: 161-744-5112
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Mailing Address
JOSE O COLON
245 EUSTIS ST
ROXBURY, MA 02119-2826
Phone number: 161-744-5112
Copy
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