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1972910800
ALEX LONG
PUEBLO, CO
NPI
1972910800
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2014-07-11
Last Update Date
2014-07-11
Business Address
-- ALEX LONG
1026 W ABRIENDO AVE
PUEBLO, CO 81004-1128
Phone number: 719-545-2746
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Mailing Address
-- ALEX LONG
1304 CHINOOK LN
PUEBLO, CO 81001-1851
Phone number: 719-545-2746
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