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1194325183
GARRETT THREADGILL
SUNLAND PARK, NM
NPI
1194325183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2020-10-28
Last Update Date
2020-10-28
Business Address
GARRETT THREADGILL
3465 MCNUTT RD
SUNLAND PARK, NM 88063-9056
Phone number: 575-915-1338
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Mailing Address
GARRETT THREADGILL
3465 MCNUTT RD
SUNLAND PARK, NM 88063-9056
Phone number: 575-915-1338
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