WAYLON CLARK

LOS LUNAS, NM
NPI1821331125
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2013-04-04
Last Update Date2013-04-04
Business Address
-- WAYLON CLARK
750 MORRIS RD SE
LOS LUNAS, NM 87031-5242
Phone number: 505-866-2318
Mailing Address
-- WAYLON CLARK
PO BOX 28220
SANTA FE, NM 87592-8220
Phone number:
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