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1114137684
ERNESTO SANTISTEVAN
SANTA FE, NM
NPI
1114137684
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NM 688)
Enumeration Date
2007-05-23
Last Update Date
2015-07-30
Business Address
Dr. ERNESTO SANTISTEVAN Ph.D.
1807 2ND ST STE 44
SANTA FE, NM 87505-3499
Phone number: 505-577-2607
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Mailing Address
Dr. ERNESTO SANTISTEVAN Ph.D.
1000 CORDOVA PL #548
SANTA FE, NM 87505-1725
Phone number: 505-577-2607
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