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1134865926
GEORGETTE IBANEZ
PUEBLO, CO
NPI
1134865926
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-05-05
Last Update Date
2022-05-05
Business Address
GEORGETTE IBANEZ
1321 S PRAIRIE AVE
PUEBLO, CO 81005-2307
Phone number: 719-569-4411
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Mailing Address
GEORGETTE IBANEZ
1321 S PRAIRIE AVE
PUEBLO, CO 81005-2307
Phone number:
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