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1689986713
JUAN A TEJADA
TAOS, NM
NPI
1689986713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2010-07-06
Last Update Date
2010-07-06
Business Address
-- JUAN A TEJADA BMS
118 ESTE ES RD UNIT H
TAOS, NM 87571-6669
Phone number: 575-758-9343
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Mailing Address
-- JUAN A TEJADA BMS
PO BOX 28220
SANTA FE, NM 87592-8220
Phone number: 505-471-5006
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