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Individual

PHILIP VIDAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8931 HURON ST, THORNTON, CO 80260-6806
(303) 853-3500
Mailing address
8931 HURON ST, THORNTON, CO 80260-6806
(303) 853-3500

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6248
CO

Other

Enumeration date
11/28/2012
Last updated
07/21/2022
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