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1316638943
LUIS TELLO
LEAVENWORTH, KS
NPI
1316638943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-05-16
Last Update Date
2023-05-16
Business Address
LUIS TELLO
629 PAWNEE ST
LEAVENWORTH, KS 66048-1447
Phone number: 785-256-9096
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Mailing Address
LUIS TELLO
924 W 6TH ST
JUNCTION CITY, KS 66441-3229
Phone number: 785-256-9096
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