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1427765403
JING-SHAN GERONIMO WONG
AURORA, CO
NPI
1427765403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CO 171372853)
Enumeration Date
2022-10-31
Last Update Date
2022-10-31
Business Address
JING-SHAN GERONIMO WONG
3760 S TEMPE WAY # 100
AURORA, CO 80018-4561
Phone number: 720-545-0768
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Mailing Address
JING-SHAN GERONIMO WONG
21042 E 60TH AVE # 100
AURORA, CO 80019-2262
Phone number: 720-238-4508
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