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1043975535
PHOENIX CLEMMONS
GREELEY, CO
NPI
1043975535
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CO RBT-21-190982)
Enumeration Date
2021-11-01
Last Update Date
2021-11-01
Business Address
PHOENIX CLEMMONS RBT
5400 W 11TH ST STE C
GREELEY, CO 80634-4624
Phone number: 970-736-5970
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Mailing Address
PHOENIX CLEMMONS RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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