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Individual

MRS. SUSAN ROUSSOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2980 SANFORD CIR, LOVELAND, CO 80538-4924
(970) 278-9079
Mailing address
2980 SANFORD CIR, LOVELAND, CO 80538-4924
(970) 278-9079

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
72023881
CO

Other

Enumeration date
06/21/2016
Last updated
06/21/2016
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