BERT DENNIS

RATON, NM
NPI1417555764
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2020-10-09
Last Update Date2020-10-09
Business Address
BERT DENNIS
411 S 3RD ST
RATON, NM 87740-4005
Phone number: 575-733-0003
Mailing Address
BERT DENNIS
PO BOX 94508
ALBUQUERQUE, NM 87199-4508
Phone number: 505-384-7352
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