KELLEN DEAN

BLOOMFIELD, NM
NPI1962010199
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X 
Enumeration Date2020-07-14
Last Update Date2023-01-19
Business Address
KELLEN DEAN
101 E BROADWAY AVE
BLOOMFIELD, NM 87413-6235
Phone number: 505-330-8220
Mailing Address
KELLEN DEAN
101 E BROADWAY AVE
BLOOMFIELD, NM 87413-6235
Phone number: 505-947-4384