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1821571878
DANIEL ENSIGN
GALLUP, NM
NPI
1821571878
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2018-09-14
Last Update Date
2018-09-14
Business Address
DANIEL ENSIGN
303 S FIRST ST
GALLUP, NM 87301-6211
Phone number: 505-862-9776
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Mailing Address
DANIEL ENSIGN
303 S FIRST ST
GALLUP, NM 87301-6211
Phone number: 505-862-9776
Copy
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