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1861225948
PATE MICHAEL PUCKETT
COLORADO SPRINGS, CO
NPI
1861225948
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CO BACB1095707)
Enumeration Date
2024-08-23
Last Update Date
2024-08-23
Business Address
Mr. PATE MICHAEL PUCKETT RBT
1015 GARDEN OF THE GODS RD
COLORADO SPRINGS, CO 80907-3489
Phone number: 719-354-5297
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Mailing Address
Mr. PATE MICHAEL PUCKETT RBT
1015 GARDEN OF THE GODS RD
COLORADO SPRINGS, CO 80907-3489
Phone number: 719-354-5297
Copy
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