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1851414429
JOAN T. STARK
GALLUP, NM
NPI
1851414429
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Other Name
SAMANTHA STARK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: NM 1776574)
Enumeration Date
2007-04-09
Last Update Date
2007-07-08
Business Address
Ms. JOAN T. STARK MA
1000 E AZTEC AVE
GALLUP, NM 87301-5509
Phone number: 505-721-1825
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Mailing Address
Ms. JOAN T. STARK MA
222 NIZHONI BLVD APT B5
GALLUP, NM 87301-7128
Phone number: 505-722-7967
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