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1972998268
ROB J ARCHULETA
PUEBLO, CO
NPI
1972998268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO 0007203)
Enumeration Date
2015-04-02
Last Update Date
2015-04-02
Business Address
-- ROB J ARCHULETA
509 E 13TH ST
PUEBLO, CO 81001-2940
Phone number: 719-546-6666
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Mailing Address
-- ROB J ARCHULETA
509 E 13TH ST
PUEBLO, CO 81001-2940
Phone number: 719-546-6666
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