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1063087450
TRYSTAN NOEL ORTEGA
PUEBLO, CO
NPI
1063087450
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CO RBT-21-150639)
Enumeration Date
2021-05-26
Last Update Date
2021-05-26
Business Address
TRYSTAN NOEL ORTEGA
401 BROADWAY AVE
PUEBLO, CO 81004-2127
Phone number: 719-329-4208
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Mailing Address
TRYSTAN NOEL ORTEGA
425 W LOOKOUT DR
PUEBLO WEST, CO 81007-3677
Phone number: 719-329-4208
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