JACOB SHONOTA COLLINS

FARMINGTON, NM
NPI1528648045
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: NM  062584)
Enumeration Date2021-04-09
Last Update Date2021-04-09
Business Address
JACOB SHONOTA COLLINS
2525 E 30TH ST
FARMINGTON, NM 87401-4503
Phone number: 505-327-4863
Mailing Address
JACOB SHONOTA COLLINS
2525 E 30TH ST
FARMINGTON, NM 87401-4503
Phone number: 505-327-4863
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