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1245860428
JORDAN SLACK
COLORADO SPRINGS, CO
NPI
1245860428
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-01-16
Last Update Date
2020-01-16
Business Address
JORDAN SLACK
1330 QUAIL LAKE LOOP STE 120
COLORADO SPRINGS, CO 80906-4651
Phone number: 719-540-2138
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Mailing Address
JORDAN SLACK
1330 QUAIL LAKE LOOP STE 120
COLORADO SPRINGS, CO 80906-4651
Phone number: 719-540-2138
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