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1164623807
DONALD SMITH
ALBUQUERQUE, NM
NPI
1164623807
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM 0102461)
Enumeration Date
2007-05-30
Last Update Date
2007-07-08
Business Address
Mr. DONALD SMITH M.P.A, LADAC
5901 ZUNI RD SE
ALBUQUERQUE, NM 87108-3073
Phone number: 505-841-8978
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Mailing Address
Mr. DONALD SMITH M.P.A, LADAC
PO BOX 80810
ALBUQUERQUE, NM 87198-0810
Phone number: 505-841-8978
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