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1932958105
JACK ALLEN STATTON
COLORADO SPRINGS, CO
NPI
1932958105
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Other Name
LOGAN STATTON
Entity Type
Individual
Gender
N/A
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-05-17
Last Update Date
2024-05-17
Business Address
JACK ALLEN STATTON
2515 PARAGON DR APT J
COLORADO SPRINGS, CO 80918-6915
Phone number: 985-377-2089
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Mailing Address
JACK ALLEN STATTON
2515 PARAGON DR APT J
COLORADO SPRINGS, CO 80918-6915
Phone number: 985-377-2089
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