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1417657594
PETER DILLON GARDNER ALAM
ALBUQUERQUE, NM
NPI
1417657594
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NM AT22024)
Enumeration Date
2023-03-07
Last Update Date
2023-07-18
Business Address
PETER DILLON GARDNER ALAM
1224 NAKOMIS DR NE UNIT H
ALBUQUERQUE, NM 87112-6047
Phone number: 832-512-5120
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Mailing Address
PETER DILLON GARDNER ALAM
20747 CRANFIELD DR
KATY, TX 77450-2703
Phone number: 832-512-5120
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