GRANT SKOUSEN ALLEN

RIO RANCHO, NM
NPI1508394297
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: NM  DD4692)
Enumeration Date2017-05-25
Last Update Date2022-07-21
Business Address
GRANT SKOUSEN ALLEN
4041 RIDGE ROCK RD SE
RIO RANCHO, NM 87124-7626
Phone number: 505-891-4510
Mailing Address
GRANT SKOUSEN ALLEN
4041 RIDGE ROCK RD SE
RIO RANCHO, NM 87124-7626
Phone number: 505-891-4510
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