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1356739957
JOTHAM IPPEL
GALLUP, NM
NPI
1356739957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041S0200X Social Worker, School
(Licence: NM M-08872)
Enumeration Date
2015-01-05
Last Update Date
2015-01-05
Business Address
-- JOTHAM IPPEL
1000 E AZTEC AVE
GALLUP, NM 87301-5509
Phone number: 505-721-1182
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Mailing Address
-- JOTHAM IPPEL
1000 E AZTEC AVE
GALLUP, NM 87301-5509
Phone number: 505-721-1182
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