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1356023279
DOMINIC JACOB CAMPOS
GALLUP, NM
NPI
1356023279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NM MT-2023-0006)
Enumeration Date
2023-08-01
Last Update Date
2023-08-01
Business Address
DOMINIC JACOB CAMPOS LMT
916 E HILL AVE
GALLUP, NM 87301-5572
Phone number: 505-721-6513
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Mailing Address
DOMINIC JACOB CAMPOS LMT
916 E HILL AVE
GALLUP, NM 87301-5572
Phone number: 505-721-6513
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