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1275021057
DERRICK SURGES
COLORADO SPRINGS, CO
NPI
1275021057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-04-26
Last Update Date
2018-04-26
Business Address
DERRICK SURGES
1330 QUAIL LAKE LOOP STE 200
COLORADO SPRINGS, CO 80906-4651
Phone number: 719-540-2155
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Mailing Address
DERRICK SURGES
1330 QUAIL LAKE LOOP STE 200
COLORADO SPRINGS, CO 80906-4651
Phone number: 719-540-2155
Copy
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