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Individual

DAWN SOLOMON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CACII

Contact information

Practice address
254 COUNTY ROAD 500, BAYFIELD, CO 81122-8721
(970) 749-6126
(970) 884-2327
Mailing address
254 COUNTY ROAD 500, BAYFIELD, CO 81122-8721
(970) 749-6126
(970) 884-2327

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1814-00
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
471500723
CO
Enumeration date
05/12/2016
Last updated
05/12/2016
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