KENNETH DORSEY TISDALE

ALBUQUERQUE, NM
NPI1962709956
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171W00000X Contractor
(Licence: NM  Lmt # 5488)
Enumeration Date2011-02-28
Last Update Date2011-02-28
Business Address
-- KENNETH DORSEY TISDALE L.C.I.C.I., Lmt #548
201 EUBANK BLVD NE B1
ALBUQUERQUE, NM 87123
Phone number: 505-712-7585
Mailing Address
-- KENNETH DORSEY TISDALE L.C.I.C.I., Lmt #548
8400 MENAUL BLVD 8400 MENAUL BLVD. NE. #217
ALBUQUERQUE, NM 87112
Phone number: 505-712-7585
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