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1265139331
EVAN JACKSON FROST
SANTA FE, NM
NPI
1265139331
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
146N00000X Emergency Medical Technician, Basic
(Licence: MN 1016380)
Enumeration Date
2023-02-09
Last Update Date
2023-02-09
Business Address
EVAN JACKSON FROST EMT-B
2052 GALISTEO ST
SANTA FE, NM 87505-2100
Phone number: 505-819-3419
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Mailing Address
EVAN JACKSON FROST EMT-B
904 BISHOPS LODGE RD
SANTA FE, NM 87501-1131
Phone number: 505-819-7317
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