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1891167474
RYAN BUSALACCHI
LAKEWOOD, CO
NPI
1891167474
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: CO 0204323)
Enumeration Date
2015-10-22
Last Update Date
2015-10-22
Business Address
-- RYAN BUSALACCHI
421 ZANG ST
LAKEWOOD, CO 80228-1052
Phone number: 303-996-3844
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Mailing Address
-- RYAN BUSALACCHI
421 ZANG ST
LAKEWOOD, CO 80228-1052
Phone number: 928-853-2836
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