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1891283859
ALICE M MONTOYA
PUEBLO, CO
NPI
1891283859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO 0007268)
Enumeration Date
2018-04-25
Last Update Date
2018-04-25
Business Address
ALICE M MONTOYA CACIII
720 N MAIN ST STE 240
PUEBLO, CO 81003-3046
Phone number: 719-569-7909
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Mailing Address
ALICE M MONTOYA CACIII
27108 WOBURN ABBEY DR
PUEBLO, CO 81006-9762
Phone number: 719-821-6830
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