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1215685540
EYASU ASSEFA
LONGMONT, CO
NPI
1215685540
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-03-15
Last Update Date
2023-12-29
Business Address
EYASU ASSEFA
451 21ST AVE STE B
LONGMONT, CO 80501-1483
Phone number: 800-656-2376
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Mailing Address
EYASU ASSEFA
451 21ST AVE STE B
LONGMONT, CO 80501-1483
Phone number:
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