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Individual

RICK NOLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
941 COUNTY ROAD 17, #602, OURAY, CO 81427-0602
(970) 519-1761
Mailing address
PO BOX 602, OURAY, CO 81427-0602
(970) 519-1761

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
373H00000X
Day Training/Habilitation Specialist
3747P1801X
Personal Care Attendant

Other

Enumeration date
06/04/2019
Last updated
06/04/2019
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