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1487983904
NATHANIEL FUENTES
ESPANOLA, NM
NPI
1487983904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NM 4071)
Enumeration Date
2009-12-11
Last Update Date
2009-12-11
Business Address
Mr. NATHANIEL FUENTES LMT
510 N PASEO DE ONATE
ESPANOLA, NM 87532-2618
Phone number: 505-753-3369
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Mailing Address
Mr. NATHANIEL FUENTES LMT
510 N PASEO DE ONATE
ESPANOLA, NM 87532-2618
Phone number: 505-753-3369
Copy
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