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1104024199
NICOLAS FLORES
CANUTILLO, TX
NPI
1104024199
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NM 3620)
Enumeration Date
2007-07-11
Last Update Date
2007-07-11
Business Address
MR. NICOLAS FLORES LADAC
6621 DONIPHAN DR STE G
CANUTILLO, TX 79835-5005
Phone number: 915-877-5100
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Mailing Address
MR. NICOLAS FLORES LADAC
6621 DONIPHAN DR STE G
CANUTILLO, TX 79835-5005
Phone number: 915-877-5100
Copy
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