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1124878293
MARTHA GABRIELA QUINTANA
SANTA FE, NM
NPI
1124878293
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM CTB-2024-0084)
Enumeration Date
2024-03-25
Last Update Date
2024-03-25
Business Address
MARTHA GABRIELA QUINTANA LSAA
2504 CAMINO ENTRADA
SANTA FE, NM 87507-4851
Phone number: 505-469-9156
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Mailing Address
MARTHA GABRIELA QUINTANA LSAA
53 CAMINO MONTOYA
SANTA FE, NM 87507-4261
Phone number: 505-469-9156
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