DAVID SEGURA

RATON, NM
NPI1063921831
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NM  4000)
Enumeration Date2017-09-25
Last Update Date2017-09-25
Business Address
DAVID SEGURA LADAC
220 4TH AVE
RATON, NM 87740-2643
Phone number: 575-445-4072
Mailing Address
DAVID SEGURA LADAC
PO BOX 94508
ALBUQUERQUE, NM 87199-4508
Phone number: 505-384-7352
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