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1518561018
JASON PATRICK HENRY
COLORADO SPRINGS, CO
NPI
1518561018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CO RBT-20-146073)
Enumeration Date
2020-11-24
Last Update Date
2020-11-25
Business Address
Mr. JASON PATRICK HENRY RBT
2760 FIELDSTONE RD
COLORADO SPRINGS, CO 80919-3100
Phone number: 719-203-6903
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Mailing Address
Mr. JASON PATRICK HENRY RBT
2692 CHRISTOPHER TER
COLORADO SPRINGS, CO 80907-8902
Phone number: 719-686-4902
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