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1467949974
KENNETH LONG
COLORADO SPRINGS, CO
NPI
1467949974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-04-19
Last Update Date
2018-04-23
Business Address
KENNETH LONG
630 SOUTHPOINTE CT STE 105
COLORADO SPRINGS, CO 80906-3800
Phone number: 719-538-5600
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Mailing Address
KENNETH LONG
11890 RIO SECCO RD
PEYTON, CO 80831-4028
Phone number: 719-728-0418
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