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1568019123
COLEVEION JASON BURRUSS
FRESNO, CA
NPI
1568019123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-08-19
Last Update Date
2020-01-15
Business Address
COLEVEION JASON BURRUSS
6770 N WEST AVE
FRESNO, CA 93711-1399
Phone number: 661-429-8689
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Mailing Address
COLEVEION JASON BURRUSS
3753 E FEDORA AVE
FRESNO, CA 93726-5905
Phone number: 818-241-6780
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