JONATHAN BRUNK

CLOVIS, NM
NPI1215273305
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: NM  0167251)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2012-12-18
Last Update Date2015-03-17
Business Address
-- JONATHAN BRUNK
1621 SUTTER PLACE
CLOVIS, NM 88101
Phone number: 575-935-2345
Mailing Address
-- JONATHAN BRUNK
1100 W. 21ST
CLOVIS, NM 88101
Phone number: 575-769-2345
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