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1194157271
JENNIFER P. VIGIL
ESPANOLA, NM
NPI
1194157271
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM 3503)
Enumeration Date
2013-07-31
Last Update Date
2013-07-31
Business Address
-- JENNIFER P. VIGIL LADAC
1102 A PASEO DE ONATE
ESPANOLA, NM 87533
Phone number: 505-852-1377
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Mailing Address
-- JENNIFER P. VIGIL LADAC
PO BOX 969
OHKAY OWINGEH, NM 87566-0969
Phone number: 505-852-1377
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