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1952642647
TERDELL MYCHAL DAWES
FORT DEFIANCE, AZ
NPI
1952642647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
347C00000X Private Vehicle
Enumeration Date
2013-03-06
Last Update Date
2013-03-06
Business Address
-- TERDELL MYCHAL DAWES
PIGEON SPRINGS NHA HOUSING 062
FORT DEFIANCE, AZ 86504
Phone number: 928-729-2130
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Mailing Address
-- TERDELL MYCHAL DAWES
PO BOX 74
SAINT MICHAELS, AZ 86511-0074
Phone number: 928-729-2130
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