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Organization
CONJURE SERVICES AND SUPPORTS
Active
Organization
CONJURE SERVICES AND SUPPORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT A MAHMOUD MS, BCBA, IBA (BOARD CERTIFIED BEHAVIOR ANALYST)
(908) 420-7595
Entity
Organization
Contact information
Practice address
5304 GANNET LN, PUEBLO, CO 81008-9719
(908) 420-7595
Mailing address
5304 GANNET LN, PUEBLO, CO 81008-9719
(908) 420-7595
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
05/19/2025
Last updated
05/30/2025
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