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1902131824
ROBERT FISHBACK
LAS CRUCES, NM
NPI
1902131824
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NM 13499)
Enumeration Date
2009-10-09
Last Update Date
2009-10-09
Business Address
Mr. ROBERT FISHBACK
4521 MESA RICO
LAS CRUCES, NM 88011-7215
Phone number: 575-642-6688
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Mailing Address
Mr. ROBERT FISHBACK
4521 MESA RICO
LAS CRUCES, NM 88011
Phone number: 575-642-6688
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