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1376713651
JEREMEY A GALLEGOS
SAN FIDEL, NM
NPI
1376713651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
146M00000X Emergency Medical Technician, Intermediate
(Licence: NM 03000685)
Enumeration Date
2008-03-03
Last Update Date
2008-03-03
Business Address
-- JEREMEY A GALLEGOS
EXIT 102 OFF I - 40 1/2 MI SOUTH
SAN FIDEL, NM 87049-0130
Phone number: 505-552-5385
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Mailing Address
-- JEREMEY A GALLEGOS
PO BOX 130
SAN FIDEL, NM 87049-0130
Phone number: 505-552-5385
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