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1700327293
LISA GRIZZLE
LOS LUNAS, NM
NPI
1700327293
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: NM 3672)
Enumeration Date
2017-03-16
Last Update Date
2017-03-16
Business Address
-- LISA GRIZZLE COTA
330 EL CERRO MISSION
LOS LUNAS, NM 87031
Phone number: 361-772-8419
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Mailing Address
-- LISA GRIZZLE COTA
306 S LAVACA
MOULTON, TX 77975-4854
Phone number: 361-772-8419
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