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1124095096
MARK WILLIAM RAYBOULD
ALBUQUERQUE, NM
NPI
1124095096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM I-04965)
Enumeration Date
2006-03-01
Last Update Date
2008-06-03
Business Address
-- MARK WILLIAM RAYBOULD LISW
2811 INDIAN SCHOOL RD NE
ALBUQUERQUE, NM 87106-1825
Phone number: 505-573-4044
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Mailing Address
-- MARK WILLIAM RAYBOULD LISW
PO BOX 30811
ALBUQUERQUE, NM 87190-0811
Phone number: 505-573-4044
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