Individual
ADAM LEE DUNCAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 BROADWAY AVE, PUEBLO, CO 81004-2127
(719) 425-7771
Mailing address
300 N 19TH ST, CANON CITY, CO 81212-2425
(719) 354-8945
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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