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1013630755
MARK WOODWARD
SANTA FE, NM
NPI
1013630755
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
146N00000X Emergency Medical Technician, Basic
(Licence: NM E3672633)
Enumeration Date
2022-09-19
Last Update Date
2022-09-19
Business Address
MARK WOODWARD NREMT-Basic
2052 GALISTEO ST
SANTA FE, NM 87505-2100
Phone number: 505-819-3419
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Mailing Address
MARK WOODWARD NREMT-Basic
2052 GALISTEO ST
SANTA FE, NM 87505-2100
Phone number: 505-819-3419
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