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1205570199
SAMANTHA KATHLEEN IRISH
GRAND JUNCTION, CO
NPI
1205570199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CO 22212448)
Enumeration Date
2022-04-26
Last Update Date
2022-04-26
Business Address
SAMANTHA KATHLEEN IRISH
2591 LEGACY WAY
GRAND JUNCTION, CO 81503-1789
Phone number: 970-852-9018
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Mailing Address
SAMANTHA KATHLEEN IRISH
2591 LEGACY WAY
GRAND JUNCTION, CO 81503-1789
Phone number:
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