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1487063244
KEITH BERNARD MARCANTEL
COLORADO SPRINGS, CO
NPI
1487063244
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251C00000X Day Training, Developmentally Disabled Services
(Licence: CO 1376967885)
Enumeration Date
2014-08-06
Last Update Date
2014-08-06
Business Address
Mr. KEITH BERNARD MARCANTEL M.A., M.S., NCSP
2802 N NEVADA AVE
COLORADO SPRINGS, CO 80907-6201
Phone number: 719-471-4329
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Mailing Address
Mr. KEITH BERNARD MARCANTEL M.A., M.S., NCSP
925 N BALDWIN ST
WOODLAND PARK, CO 80863-1374
Phone number: 719-330-5753
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