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1912331364
ADALBERTO AYALA
DENVER, CO
NPI
1912331364
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO 5115)
Enumeration Date
2013-08-21
Last Update Date
2013-08-21
Business Address
-- ADALBERTO AYALA
2111 CHAMPA ST
DENVER, CO 80205-2529
Phone number: 303-312-9610
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Mailing Address
-- ADALBERTO AYALA
2111 CHAMPA ST
DENVER, CO 80205-2529
Phone number: 303-312-9610
Copy
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