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1922148519
JON DAVID LAURITZEN
LAKEWOOD, CO
NPI
1922148519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
2007-02-06
Last Update Date
2007-07-08
Business Address
MR. JON DAVID LAURITZEN BA
7290 W 14TH AVE
LAKEWOOD, CO 80214-4725
Phone number: 303-232-8047
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Mailing Address
MR. JON DAVID LAURITZEN BA
4851 INDEPENDENCE ST SUITE 200
WHEAT RIDGE, CO 80033-6715
Phone number:
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