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1457793143
NATHAN GONZALES
ACOMA, NM
NPI
1457793143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
146L00000X Emergency Medical Technician, Paramedic
(Licence: NM 07001577)
Enumeration Date
2013-07-23
Last Update Date
2013-07-23
Business Address
MR. NATHAN GONZALES
80B VETERANS BLVD ACL IHS
ACOMA, NM 87034
Phone number: 505-552-5385
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Mailing Address
MR. NATHAN GONZALES
PO BOX 130
SAN FIDEL, NM 87049-0130
Phone number: 505-552-5385
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