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1912597519
ANTHONY KING
GALLUP, NM
NPI
1912597519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-01-19
Last Update Date
2021-01-19
Business Address
ANTHONY KING
222 E NIZHONI BLVD APT D3
GALLUP, NM 87301-5763
Phone number: 505-458-8171
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Mailing Address
ANTHONY KING
222 E NIZHONI BLVD APT D3
GALLUP, NM 87301-5763
Phone number:
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