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1598162612
TENNIS SHANE MARTIN
AURORA, CO
NPI
1598162612
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CO 356)
Enumeration Date
2014-12-04
Last Update Date
2015-01-12
Business Address
-- TENNIS SHANE MARTIN LPC, MA
1390/1400 CHAMBERS RD
AURORA, CO 80011
Phone number: 719-429-2356
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Mailing Address
-- TENNIS SHANE MARTIN LPC, MA
11059 E. BETHANY DRIVE
AURORA, CO 80014
Phone number: 303-617-2300
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