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1104247956
RYAN DELAWARE
ALBUQUERQUE, NM
NPI
1104247956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2013-12-20
Last Update Date
2021-12-22
Business Address
RYAN DELAWARE
1217 1ST ST NW
ALBUQUERQUE, NM 87102-1529
Phone number: 505-766-5197
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Mailing Address
RYAN DELAWARE
PO BOX 25445
ALBUQUERQUE, NM 87125-0445
Phone number: 505-766-5197
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