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1982229621
DONNA G DEFFKE
LONGMONT, CO
NPI
1982229621
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO ACB.0006995)
Enumeration Date
2020-06-09
Last Update Date
2020-06-09
Business Address
DONNA G DEFFKE
420 21ST AVE
LONGMONT, CO 80501-1441
Phone number: 303-834-9369
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Mailing Address
DONNA G DEFFKE
420 21ST AVE
LONGMONT, CO 80501-1441
Phone number: 303-834-9369
Copy
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