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1154992519
NICHOLAS RUBEN ORTEGA
ALBUQUERQUE, NM
NPI
1154992519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM CSA0216401)
Enumeration Date
2021-07-07
Last Update Date
2021-07-12
Business Address
NICHOLAS RUBEN ORTEGA LSAA
630 HAINES AVE NW
ALBUQUERQUE, NM 87102-1226
Phone number: 505-268-5611
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Mailing Address
NICHOLAS RUBEN ORTEGA LSAA
630 HAINES AVE NW
ALBUQUERQUE, NM 87102-1226
Phone number: 505-268-5611
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