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1306336847
CHARLES R RUSSELL
ENGLEWOOD, CO
NPI
1306336847
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CO RBT-17-35016)
Enumeration Date
2018-05-10
Last Update Date
2018-05-10
Business Address
CHARLES R RUSSELL RBT-17-35016
4520 S HURON ST
ENGLEWOOD, CO 80110-5636
Phone number: 720-435-0048
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Mailing Address
CHARLES R RUSSELL RBT-17-35016
4520 S HURON ST
ENGLEWOOD, CO 80110-5636
Phone number: 720-435-0048
Copy
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