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1528648045
JACOB SHONOTA COLLINS
FARMINGTON, NM
NPI
1528648045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NM 062584)
Enumeration Date
2021-04-09
Last Update Date
2021-04-09
Business Address
JACOB SHONOTA COLLINS
2525 E 30TH ST
FARMINGTON, NM 87401-4503
Phone number: 505-327-4863
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Mailing Address
JACOB SHONOTA COLLINS
2525 E 30TH ST
FARMINGTON, NM 87401-4503
Phone number: 505-327-4863
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