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Individual

MR. KIEL ANTHONY POORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1320 S SOLANO DR, LAS CRUCES, NM 88001-3758
(575) 556-1545
Mailing address
701 PARKER RD APT C, LAS CRUCES, NM 88005-2182
(505) 236-8732

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
10/07/2010
Last updated
10/07/2010
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