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1982948758
DONALD LEON KOLLAK
COMMERCE CITY, CO
NPI
1982948758
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO 3838)
Enumeration Date
2012-11-19
Last Update Date
2012-11-19
Business Address
Mr. DONALD LEON KOLLAK cac II
7373 BIRCH ST
COMMERCE CITY, CO 80022-1446
Phone number: 303-412-3962
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Mailing Address
Mr. DONALD LEON KOLLAK cac II
7373 BIRCH ST
COMMERCE CITY, CO 80022-1446
Phone number:
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