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1245702117
NATE BLANK
COLORADO SPRINGS, CO
NPI
1245702117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-12-17
Last Update Date
2018-12-17
Business Address
NATE BLANK
2760 FIELDSTONE RD
COLORADO SPRINGS, CO 80919-3100
Phone number: 719-203-6903
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Mailing Address
NATE BLANK
322 FARRAGUT AVE # 1
COLORADO SPRINGS, CO 80909-5632
Phone number: 970-692-1227
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