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1528772258
KENYAN WALLACE
SANTA FE, NM
NPI
1528772258
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: NM MT9637)
Enumeration Date
2023-01-09
Last Update Date
2023-01-09
Business Address
KENYAN WALLACE LMT
1640 OLD PECOS TRL STE E
SANTA FE, NM 87505-4777
Phone number: 561-843-4380
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Mailing Address
KENYAN WALLACE LMT
2934 CALLE DEL RES
SANTA FE, NM 87505-6716
Phone number: 561-843-4380
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