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1134600331
ALEXX LEWIS
FORT COLLINS, CO
NPI
1134600331
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: MO X067021006)
Enumeration Date
2018-08-24
Last Update Date
2018-08-24
Business Address
ALEXX LEWIS
1100 HAXTON DR UNIT 115
FORT COLLINS, CO 80525-6213
Phone number: 970-305-8642
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Mailing Address
ALEXX LEWIS
21600 OXNARD ST
WOODLAND HILLS, CA 91367-4976
Phone number: 818-345-2345
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