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1427704451
TARNELL JOSEPH GREEN
PUEBLO, CO
NPI
1427704451
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CO 205517)
Enumeration Date
2022-02-28
Last Update Date
2022-02-28
Business Address
TARNELL JOSEPH GREEN
401 BROADWAY AVE
PUEBLO, CO 81004-2127
Phone number: 719-387-7775
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Mailing Address
TARNELL JOSEPH GREEN
44 MONTEBELLO RD APT 306C
PUEBLO, CO 81001-1347
Phone number: 409-791-6442
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