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1083735997
MARK SANCHEZ
FARMINGTON, NM
NPI
1083735997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NM 0084741)
Enumeration Date
2007-04-02
Last Update Date
2007-07-08
Business Address
MR. MARK SANCHEZ LADAC,LCDC,ICADC,CAC
1001 W BROADWAY STE D
FARMINGTON, NM 87401-5638
Phone number: 505-325-0238
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Mailing Address
MR. MARK SANCHEZ LADAC,LCDC,ICADC,CAC
PO BOX 2707
SHIPROCK, NM 87420-2707
Phone number: 505-368-4825
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