DONALD ROBERT FRAGA

ROSWELL, NM
NPI1194213736
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
(Licence: NM  0180371)
Enumeration Date2018-04-30
Last Update Date2018-04-30
Business Address
DONALD ROBERT FRAGA
1107 S ATKINSON AVE
ROSWELL, NM 88203-7154
Phone number: 575-578-4826
Mailing Address
DONALD ROBERT FRAGA
704 GROVE ST
ROSWELL, NM 88201-7434
Phone number: 575-420-6466
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