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1760119069
JOHN MORTENSEN
COLORADO SPRINGS, CO
NPI
1760119069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CO 22-225592)
Enumeration Date
2022-08-05
Last Update Date
2022-08-05
Business Address
JOHN MORTENSEN
685 CITADEL DR E STE 345
COLORADO SPRINGS, CO 80909-5326
Phone number: 940-368-7105
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Mailing Address
JOHN MORTENSEN
685 CITADEL DR E STE 345
COLORADO SPRINGS, CO 80909-5326
Phone number: 940-368-7105
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