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1205334885
MARISSA BLACKMAN
COLORADO SPRINGS, CO
NPI
1205334885
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
251S00000X
Enumeration Date
2018-01-29
Last Update Date
2018-01-29
Business Address
MARISSA BLACKMAN
4905 N UNION BLVD STE 200
COLORADO SPRINGS, CO 80918-4058
Phone number: 970-219-9089
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Mailing Address
MARISSA BLACKMAN
4905 N UNION BLVD STE 200
COLORADO SPRINGS, CO 80918-4058
Phone number:
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