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1912459892
GABRIEL FONTAN
SANTA TERESA, NM
NPI
1912459892
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2016-10-26
Last Update Date
2025-02-17
Business Address
GABRIEL FONTAN
5312 RIO BRAVO DR STE 10
SANTA TERESA, NM 88008-9210
Phone number: 575-915-1338
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Mailing Address
GABRIEL FONTAN
9816 BOMARC ST
EL PASO, TX 79924-4904
Phone number: 915-503-3052
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