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1104040088
MICHAEL WAYNE GIDDINGS
ALBUQUERQUE, NM
NPI
1104040088
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM 005486)
Enumeration Date
2007-04-12
Last Update Date
2009-12-07
Business Address
-- MICHAEL WAYNE GIDDINGS LADAC
1528 FIVE POINTS RD SW
ALBUQUERQUE, NM 87105-3014
Phone number: 505-242-6919
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Mailing Address
-- MICHAEL WAYNE GIDDINGS LADAC
606 CALLE DON DEMETRIO NE
LOS LUNAS, NM 87031-9360
Phone number: 505-865-6748
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