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1578870135
ROCKY EUGENE BANDA
CONVERSE, TX
NPI
1578870135
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2010-09-02
Last Update Date
2022-02-17
Business Address
ROCKY EUGENE BANDA
101 PEACEFUL LN
CONVERSE, TX 78109-1007
Phone number: 210-248-9077
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Mailing Address
ROCKY EUGENE BANDA
PO BOX 28220
SANTA FE, NM 87592-8220
Phone number: 505-471-5006
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