TYRONE JON KAY

GALLUP, NM
NPI1124756267
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM  CAD0225331)
Enumeration Date2022-08-08
Last Update Date2022-08-08
Business Address
TYRONE JON KAY LADAC
2105 HASSLER VALLEY ROAD
GALLUP, NM 87301
Phone number: 505-413-3447
Mailing Address
TYRONE JON KAY LADAC
PO BOX 1321
CHURCH ROCK, NM 87311-1321
Phone number: 505-330-3448
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