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1962101733
JALISA JOHNHAT
FARMINGTON, NM
NPI
1962101733
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YS0200X Counselor School
Enumeration Date
2023-03-01
Last Update Date
2023-03-01
Business Address
JALISA JOHNHAT
2301 N WESTERN AVE
FARMINGTON, NM 87401-3418
Phone number: 505-374-0345
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Mailing Address
JALISA JOHNHAT
2301 N WESTERN AVE
FARMINGTON, NM 87401-3418
Phone number: 505-374-0345
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