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1104975960
DAVID JOSEPH BREAULT
ALBUQUERQUE, NM
NPI
1104975960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM I-2244)
Enumeration Date
2007-01-10
Last Update Date
2007-07-09
Business Address
-- DAVID JOSEPH BREAULT LISW
3214 PURDUE PL NE
ALBUQUERQUE, NM 87106-2124
Phone number: 505-266-9233
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Mailing Address
-- DAVID JOSEPH BREAULT LISW
3214 PURDUE PL NE
ALBUQUERQUE, NM 87106-2124
Phone number: 505-266-9233
Copy
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