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1124351416
WAYNE A SALAZAR
ESPANOLA, NM
NPI
1124351416
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM 0067372)
Enumeration Date
2009-09-17
Last Update Date
2015-03-09
Business Address
-- WAYNE A SALAZAR LSAA
1114 PLAZA DEL NORTE STE B
ESPANOLA, NM 87532-3216
Phone number: 505-753-8933
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Mailing Address
-- WAYNE A SALAZAR LSAA
1114 PLAZA DEL NORTE STE B
ESPANOLA, NM 87532-3216
Phone number: 505-753-8933
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