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Individual

CHRISTOPHER L PEREA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1072 AVENIDA LAS VISTAS NW, LOS LUNAS, NM 87031-8381
(505) 702-5359
Mailing address
1072 AVENIDA LAS VISTAS NW, LOS LUNAS, NM 87031-8381
(505) 702-5359

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
NM

Other

Enumeration date
08/28/2020
Last updated
08/28/2020
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