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Individual

BRADY COOLS HISHMEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1035 EL RANCHO RD, EVERGREEN, CO 80439-8238
(720) 295-3790
Mailing address
27945 ALABRASKA LN, EVERGREEN, CO 80439-6549
(973) 803-6865

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
12/09/2022
Last updated
12/09/2022
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