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1417376864
JASON LEON HERNDON
AURORA, CO
NPI
1417376864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC2200X Psychologist Clinical Child & Adolescent
Enumeration Date
2014-04-14
Last Update Date
2014-04-14
Business Address
JASON LEON HERNDON M.S.
13123 E 16TH AVE BOX 130
AURORA, CO 80045-7106
Phone number: 720-777-6150
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Mailing Address
JASON LEON HERNDON M.S.
13123 E 16TH AVE BOX 130
AURORA, CO 80045-7106
Phone number: 720-777-6150
Copy
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