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1922457977
GUS CARRILLO
ALBUQUERQUE, NM
NPI
1922457977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NM M-09587)
Enumeration Date
2016-06-10
Last Update Date
2016-10-31
Business Address
-- GUS CARRILLO M.S.W.
4036 RAYADO PL NW
ALBUQUERQUE, NM 87114-5538
Phone number: 505-362-3378
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Mailing Address
-- GUS CARRILLO M.S.W.
4036 RAYADO PL NW
ALBUQUERQUE, NM 87114-5538
Phone number: 505-362-3378
Copy
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