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1821133042
FERNANDO CARREON
TAOS, NM
NPI
1821133042
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
Enumeration Date
2007-02-21
Last Update Date
2007-07-08
Business Address
Mr. FERNANDO CARREON BA
413 SIPAPU BOX 6952
TAOS, NM 87571-6489
Phone number: 505-758-1596
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Mailing Address
Mr. FERNANDO CARREON BA
226 HERDNER RD
TAOS, NM 87571-5213
Phone number: 505-751-1971
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