DAVID BURCIAGA

PORTALES, NM
NPI1134452105
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2009-09-09
Last Update Date2015-03-17
Business Address
DAVID BURCIAGA YOUTH CARE-BONEM HM
1111 W. FIR
PORTALES, NM 88101
Phone number: 575-356-5112
Mailing Address
DAVID BURCIAGA YOUTH CARE-BONEM HM
1100 W. 21ST
CLOVIS, NM 88101
Phone number: 575-769-2345
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