AUGUSTUS GRAY

PORTALES, NM
NPI1740707801
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-08-29
Last Update Date2017-08-29
Business Address
AUGUSTUS GRAY
1500 S AVE K STATION 3, SHROC
PORTALES, NM 88130
Phone number: 575-914-0123
Mailing Address
AUGUSTUS GRAY
1500 S AVE K STATION 3, SHROC
PORTALES, NM 88130
Phone number:
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