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Court

Client Intake Form

This form collects information about potential new clients and is used for internal purposes only. Your information is confidential and will not be shared without your consent.

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Javier Diaz, Attorney at Law

Licensed in Alaska and Colorado

14143 Denver West Parkway, Suite 100, Lakewood, CO 80401

720-729-7252

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907-531-7442

info@jgdiazlaw.com

Available 24/7

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