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1902177371
DONALD A WHITING
SAN FIDEL, NM
NPI
1902177371
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
146M00000X Emergency Medical Technician, Intermediate
(Licence: CO I7010693)
Enumeration Date
2012-01-18
Last Update Date
2012-01-18
Business Address
-- DONALD A WHITING EMT
EXIT 102 OFF I-40 1/2 MILE SOUTH
SAN FIDEL, NM 87049-0130
Phone number: 505-552-5385
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Mailing Address
-- DONALD A WHITING EMT
PO BOX 130
SAN FIDEL, NM 87049-0130
Phone number: 505-552-5385
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