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1194469882
JONATHAN LATHAM
COLORADO SPRINGS, CO
NPI
1194469882
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-04-27
Last Update Date
2022-04-27
Business Address
JONATHAN LATHAM
1330 QUAIL LAKE LOOP
COLORADO SPRINGS, CO 80906-4651
Phone number: 719-540-2108
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Mailing Address
JONATHAN LATHAM
1330 QUAIL LAKE LOOP
COLORADO SPRINGS, CO 80906-4651
Phone number: 719-540-2108
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