COY BRUSUELAS

RUIDOSO, NM
NPI1871826842
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2009-09-09
Last Update Date2009-09-09
Business Address
-- COY BRUSUELAS FSS
206 PORR DR
RUIDOSO, NM 88345
Phone number: 575-630-0571
Mailing Address
-- COY BRUSUELAS FSS
PO BOX 28220
SANTA FE, NM 87592
Phone number: 505-471-5006
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