License Detail

number61586
last_nameABEYTA
first_nameRALPH
middle_nameLEVI
address15749 Pinon Flats Road NW
cityAlbuquerque
stateNM
zip87114
expire_date12/31/2015
date_granted3/9/1987
work_phone505 797 9743
employerx8e Vinyard
branch1CIV
StatusACT

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