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1124251087
VICTOR A FAULKNER
ALBUQUERQUE, NM
NPI
1124251087
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM 4397)
Enumeration Date
2009-08-26
Last Update Date
2018-04-02
Business Address
VICTOR A FAULKNER LADAC
3939 SAN PEDRO DR NE BLDG D1
ALBUQUERQUE, NM 87110-8905
Phone number: 505-440-9545
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Mailing Address
VICTOR A FAULKNER LADAC
9201 MONTGOMERY BLVD NE STE V
ALBUQUERQUE, NM 87111-2470
Phone number: 505-320-0576
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