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1740888452
TROY MICHAEL ROOT
PUEBLO, CO
NPI
1740888452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CO RBT-20-140219)
Enumeration Date
2020-10-14
Last Update Date
2020-10-14
Business Address
TROY MICHAEL ROOT
401 BROADWAY AVE
PUEBLO, CO 81004-2127
Phone number: 970-539-6483
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Mailing Address
TROY MICHAEL ROOT
223 POLK ST
PUEBLO, CO 81004-1513
Phone number: 970-539-6483
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