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1972383602
MELISSA GRISSOM
CASTLE ROCK, CO
NPI
1972383602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CO BACB1001260)
Enumeration Date
2023-10-02
Last Update Date
2023-10-02
Business Address
MELISSA GRISSOM
831 S PERRY ST
CASTLE ROCK, CO 80104-1919
Phone number: 719-309-2684
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Mailing Address
MELISSA GRISSOM
831 S PERRY ST
CASTLE ROCK, CO 80104-1919
Phone number: 719-309-2684
Copy
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