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1861023749
SHANTIA RENE POWELL
COLORADO SPRINGS, CO
NPI
1861023749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-01-30
Last Update Date
2020-01-30
Business Address
SHANTIA RENE POWELL
1330 QUAIL LAKE LOOP STE 120
COLORADO SPRINGS, CO 80906-4651
Phone number: 719-924-4533
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Mailing Address
SHANTIA RENE POWELL
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 949-833-2237
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