DAVID EATON BRAGG

DEMING, NM
NPI1518062991
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: NM  I05272)
Enumeration Date2006-09-13
Last Update Date2007-07-08
Business Address
-- DAVID EATON BRAGG LISW
901 W HICKORY
DEMING, NM 88030
Phone number: 505-546-2174
Mailing Address
-- DAVID EATON BRAGG LISW
PO BOX 1349
SILVER CITY, NM 88062
Phone number: 505-546-2174
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