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1114569605
VICENTE AVILA MIRAMONTES
SANTA FE, NM
NPI
1114569605
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041S0200X Social Worker, School
(Licence: NM 392885)
Enumeration Date
2019-10-16
Last Update Date
2019-10-16
Business Address
VICENTE AVILA MIRAMONTES LBSW
13A SAN MARCOS LOOP
SANTA FE, NM 87508-7083
Phone number: 505-986-4007
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Mailing Address
VICENTE AVILA MIRAMONTES LBSW
13A SAN MARCOS LOOP
SANTA FE, NM 87508-7083
Phone number: 505-986-4007
Copy
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