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1619607868
CANYON SMITH
CLOVIS, NM
NPI
1619607868
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: NM BACB794096)
Enumeration Date
2022-06-12
Last Update Date
2022-06-12
Business Address
CANYON SMITH
2108 RALPH BOONE
CLOVIS, NM 88101-9029
Phone number: 575-693-9886
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Mailing Address
CANYON SMITH
2108 RALPH BOONE
CLOVIS, NM 88101-9029
Phone number: 575-693-9886
Copy
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