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1932480647
MARCO ANTONIO LONGO MERINO
BOULDER, CO
NPI
1932480647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2011-09-08
Last Update Date
2011-09-08
Business Address
MARCO ANTONIO LONGO MERINO
1333 IRIS AVE
BOULDER, CO 80304-2226
Phone number: 303-443-8500
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Mailing Address
MARCO ANTONIO LONGO MERINO
1333 IRIS AVE
BOULDER, CO 80304-2226
Phone number:
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